不同时期的护理方案对妊娠期糖尿病患者妊娠结局的干预效果  

Intervention Effect of Nursing Programs in Different Periods on Pregnancy Outcomes of Patients with Gestational Diabetes Mellitus

作　　者：刘玉棕 LIU Yuzong(People's Hospital of Anyuan County,Ganzhou City,Jiangxi,Ganzhou 342100,China)

机构地区：[1]赣州市安远县人民医院,江西赣州342100

出　　处：《中国医药指南》2022年第34期49-52,共4页Guide of China Medicine

摘　　要：目的 探究妊娠期糖尿病患者应用不同时期的护理方案对妊娠结局的干预效果。方法 本次研究共计选入60个病例为对象,筛选自2019年8月至2021年8月门诊接收的妊娠期糖尿病患者,根据开始实施护理干预的孕周分为3组,孕早期组(孕周<28周)、孕中期组(28~36周)、孕晚期(> 36周)组,每组各20例患者,对比孕妇和围生儿相关并发症情况。结果 孕早期组血红蛋白水平明显低于孕中期组,孕中期组明显低于孕晚期组,有统计学意义(P <0.05)。孕早期组血糖控制良好率为90.00%,分别高于孕中期组的85.00%、孕晚期组的45.00%,有统计学意义(P <0.05)。孕晚期组孕妇中胎膜早破率为30.00%、妊高征率为30.00%、剖宫产率为40.00%,高于孕早期组和孕中期组,有统计学意义(P <0.05)。孕晚期组围生儿中,巨大儿率为40.00%、胎儿生长受限率为30.00%、早产儿率为30.00%,高于孕早期和孕中期组,差异显著(P <0.05)。结论 孕早期开始实施护理方案,有助于改善妊娠期糖尿病患者的妊娠结局,减少孕妇和围生儿并发症。Objective To explore the effect of different nursing programs on pregnancy outcomes in patients with gestational diabetes mellitus.Methods A total of 60 cases were selected in this study.The patients with gestational diabetes mellitus received from the outpatient clinic from August 2019 to August 2021 were screened and divided into three groups according to the gestational week when the nursing intervention was started.week (>36 weeks) group,20 patients in each group,and the complications of pregnant women and perinatal infants were compared.Results The hemoglobin level in the first trimester group was significantly lower than that in the second trimester group,and the second trimester group was significantly lower than the third trimester group(P<0.05).The good blood sugar control rate in the first trimester group was 90.00%,which was higher than 85.00% in the second trimester group and 45.00% in the third trimester group(P<0.05).Among pregnant women in the third trimester group,the rate of premature rupture of membranes was 30.00%,the rate of pregnancy-induced hypertension was 30.00%,and the rate of cesarean section was 40.00%,which were higher than those in the first trimester group and the second trimester group(P<0.05).Among the perinatal infants in the third trimester group,the macrosomia rate was 40.00%,the fetal growth restriction rate was 30.00%,and the premature infant rate was 30.00%,which were higher than those in the first trimester group and the second trimester group(P<0.05).Conclusion Implementing the nursing program in the first trimester can help to improve the pregnancy outcomes of patients with gestational diabetes mellitus and reduce the complications of pregnant women and perinatal infants,which is worthy of all-round promotion.

关 键 词：不同时期的护理方案 妊娠期糖尿病 妊娠结局 

分 类 号：R473.71[医药卫生—护理学] R714.25[医药卫生—临床医学]