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作 者:陈秀雯 连林颖 林少芳 CHEN Xiuwen;LIAN Linying;LIN Shaofang(Department of Obstetrics,Women´s and Children´s Hospital Affiliated to Xiamen University/Xiamen Maternal and Child Health Hospital,Xiamen,Fujian Province,361000 China)
机构地区:[1]厦门大学附属妇女儿童医院/厦门市妇幼保健院产科,福建厦门361000
出 处:《糖尿病新世界》2022年第19期155-158,共4页Diabetes New World Magazine
摘 要:目的 探究妊娠期糖尿病产妇分娩新生儿应用预防模式下动态观察护理的可行性。方法 选择2021年6月—2022年1月厦门大学附属妇女儿童医院就诊的妊娠期糖尿病产妇分娩的新生儿100例,以数字随机表法将其划分为对照组与观察组,各50例。对照组实施预防模式下常规观察护理,观察组实施预防模式下动态观察护理,对比两组新生儿出生后不同时间段下的血糖水平以及临床指标。结果 两组新生儿出生时血糖水平对比,差异无统计学意义(P>0.05);观察组新生儿出生1、2 h时间段下的血糖值均显著高于对照组,差异有统计学意义(P<0.05);观察组新生儿血糖正常时间以及住院时间均显著低于对照组,差异有统计学意义(P<0.05)。结论 妊娠期糖尿病产妇分娩新生儿应用预防模式下动态观察护理,可早期发现新生儿低血糖发生情况,降低护理风险,在调节新生儿新生儿血糖水平、降低临床指标用时等方面均有显著的积极影响。Objective To explore the feasibility of dynamic observation and nursing under the preventive mode of gestational diabetes mellitus mothers delivering neonates.Methods A total of 100 neonates who were delivered by pregnant women with gestational diabetes mellitus who visited Women´s and Children´s Hospital Affiliated to Xiamen University from June 2021 to January 2022 were selected.They were divided into control group and observation group by random table method,50 cases in each group.The control group was given routine observation nursing under the preventive mode,and the observation group was given the dynamic observation nursing under the preventive mode.The blood glucose levels and clinical indicators of the two groups of newborns at different time periods after birth were compared.Results There was no statistically significant difference in blood glucose levels at birth between the two groups(P>0.05);the blood glucose levels of newborns in the observation group at 1 and 2 hours after birth were significantly higher than those in the control group,and the difference was statistically significant(P<0.05);the normal blood glucose time and hospitalization time of neonates in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of dynamic observation and nursing in the preventive mode to the newborns of gestational diabetes mellitus mothers can early detect the occurrence of neonatal hypoglycemia and reduce the nursing risk.It has a significant positive effect on regulating neonatal blood glucose levels and reducing the time spent on clinical indicators.
关 键 词:妊娠期糖尿病 新生儿 预防模式下动态观察护理
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