循证护理对妊娠期糖尿病患者血糖及妊娠结局的影响

发布时间：2018-03-31 08:29

  本文选题：妊娠期糖尿病　切入点：循证护理　出处：《山东医药》2016年38期

【摘要】：目的探讨循证护理对妊娠期糖尿病(GDM)患者血糖水平及妊娠结局的影响。方法选取GDM患者120例,随机分为观察组和对照组各60例。对照组采用常规护理方法,观察组采用循证护理方法,护理实施时间为入院至分娩结束。检测两组分娩前患者的空腹血糖(FPG)、餐后2 h血糖(2 h PG)及糖化血红蛋白(HbA_(1c)),记录两组先兆流产、妊娠期高血压疾病、胎膜早破、羊水异常等妊娠并发症的发生情况,记录并比较两组剖宫产、早产、巨大儿、畸形儿、新生儿窒息等妊娠结局发生情况。结果分娩前观察组FPG、2 h PG及HbA_(1c)水平均低于对照组(P均0.05)。观察组先兆流产、妊娠期高血压疾病、产后出血和产褥感染的发生率均低于对照组(P均0.05或0.01)。观察组剖宫产和巨大胎儿、新生儿低血糖、新生儿高胆红素血症和新生儿窒息的发生率均低于对照组(P均0.05或0.01)。结论采用循证护理可有效控制GDM患者妊娠期血糖水平,降低妊娠并发症的发生率,改善妊娠结局。
[Abstract]:Objective to explore the effect of evidence-based nursing on blood glucose level and pregnancy outcome in patients with gestational diabetes mellitus (GDM). Methods 120 patients with GDM were randomly divided into observation group and control group. The observation group was treated with evidence-based nursing method, the nursing time was from admission to the end of delivery. The fasting blood glucose (FPG) and glycosylated hemoglobin (HbA1C) were measured before delivery and 2 h postprandial blood glucose (PGG) and HbA1C respectively. The threatened abortion and hypertensive disorder complicating pregnancy were recorded in the two groups. The incidence of pregnancy complications such as premature rupture of membranes and amniotic fluid abnormalities were recorded and compared between two groups: cesarean section premature delivery macrosomia and malformation. Results the levels of FPGN 2 h PG and HbA1c) in the observation group were lower than those in the control group (P 0.05). The threatened abortion and hypertensive disorder complicating pregnancy were observed in the observation group. The incidence of postpartum hemorrhage and puerperal infection was lower than that of control group (P 0.05 or 0.01). The incidence of neonatal hyperbilirubinemia and neonatal asphyxia was lower than that of control group (P 0.05 or 0.01). Conclusion Evidence-based nursing can effectively control the level of blood glucose during pregnancy in GDM patients, reduce the incidence of pregnancy complications and improve the outcome of pregnancy.
【作者单位】： 山东省警官总医院;山东省中医药研究院;日照市中医医院;山东中医药大学;
【基金】：山东省自主创新和成果转化课题资助项目(2014ZZCX02104)
【分类号】：R473.71;R-03
，

本文编号：1689934