系统管理对妊娠期糖尿病患者母婴结局的影响

发布时间：2018-12-15 11:19

【摘要】：目的探讨系统管理对妊娠期糖尿病患者母婴结局的影响。方法选取妊娠期糖尿病患者96例为观察组,对其行系统管理至分娩;同期随机抽取96例妊娠期糖尿病的患者作为对照组,接受常规护理。比较两组孕妇羊水指数、孕期增加体重、身体质量指数(BMI)、餐后2h血糖、母婴结局(早产、剖宫产、产后出血、泌尿系统感染、窒息、缺氧性脑病、巨大儿、低血糖及高胆红素血症)。结果观察组患者孕期增加体重、BMI、餐后2h血糖、羊水指数等各项临床指标均低于对照组,母婴结局优于对照组,差异均有统计学意义(P0.05)。结论系统管理可以明显改善妊娠期糖尿病患者的母婴结局。
[Abstract]:Objective to explore the effect of systematic management on maternal and infant outcome of gestational diabetes mellitus (GDM). Methods 96 cases of gestational diabetes mellitus were selected as observation group and 96 cases of gestational diabetes mellitus were randomly selected as control group and received routine nursing care. The amniotic fluid index, weight gain during pregnancy, body mass index (BMI),) 2 h postprandial blood glucose, maternal and infant outcomes (premature delivery, cesarean section, postpartum hemorrhage, urinary tract infection, asphyxia, hypoxic encephalopathy, macrosomia) were compared between the two groups. Hypoglycemia and hyperbilirubinemia) Results in the observation group, the weight gain during pregnancy, 2 h postprandial blood glucose of BMI, amniotic fluid index and other clinical indexes were lower than those in the control group, and the maternal and infant outcome was better than that of the control group, and the difference was statistically significant (P0.05). Conclusion systematic management can significantly improve the maternal and child outcomes of gestational diabetes mellitus patients.
【作者单位】：余姚市第二人民医院妇产科;
【分类号】：R473.71

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