妊娠糖尿病患者的孕前和孕期保健措施和效果  

Health care measures and effects of pregnant women with diabetes before and during pregnancy

作　　者：黄慧环 Huang Huihuan(Department of Obstetrics and Gynecology,Huian Hospital of Traditional Chinese Medicine,Quanzhou 362100)

机构地区：[1]泉州市惠安县中医院妇产科,惠安362100

出　　处：《数理医药学杂志》2022年第12期1884-1886,共3页Journal of Mathematical Medicine

摘　　要：目的:探究分析妊娠糖尿病患者积极开展系统化的孕前和孕期保健措施的效果。方法:选择2020年3月到2022年2月作为研究时间段,抽取期间本院妇产科收治的妊娠糖尿病患者合计100例纳入观察样本对象,通过保健措施的不同将所有患者均分为两组:对照组(n=50)和实验组(n=50),对照组开展常规保健,实验组患者开展系统化的孕前和孕期保健,对比两组患者的依从评分、保健认知水平、血糖控制有效率、血糖指标、不良妊娠结局发生率、满意度。结果:实验组妊娠糖尿病患者的依从评分显著提高且明显高于对照组,疾病定义、危险因素、注意事项等保健认知评分、血糖控制有效率、护理满意度显著更高,空腹血糖和餐后2h血糖指标明显改善,妊高症、早产、巨大儿、羊水过多、胎儿窘迫、产后出血等不良妊娠发生率更低,差异存在统计学意义(P<0.05)。结论:妊娠糖尿病患者积极开展系统化的孕前和孕期保健措施的效果确切,有利于提高患者的认知水平和依从性,控制患者的血糖、优化妊娠结局、保障患者的预后,具有较高的临床推广价值。Objective:To explore and analyze the effect of systematic pre pregnancy and pregnancy health care measures for pregnant women with diabetes.Methods:The study period was from March 2020 to February 2022.A total of 100 pregnant women with diabetes who were admitted to the obstetrics and gynecology department of our hospital during this period were selected and included in the observation sample.All patients were divided into two groups according to different health care measures:the control group(n=50)and the experimental group(n=50).The control group carried out routine health care,and the experimental group carried out systematic pre pregnancy and pregnancy health care.The compliance scores Health care cognition level,effective rate of blood glucose control,blood glucose indicators,incidence of adverse pregnancy outcomes,satisfaction.Results:The compliance score of pregnant diabetes patients in the experimental group was significantly improved and significantly higher than that of the control group.The health care cognitive score,blood sugar control efficiency,and nursing satisfaction were significantly higher in the disease definition,risk factors,and precautions.Fasting blood glucose and 2h postprandial blood glucose indicators were significantly improved.The incidence of adverse pregnancies such as pregnancy induced hypertension,preterm delivery,macrosomia,polyhydramnios,fetal distress,and postpartum hemorrhage was lower,The difference was statistically significant(P<0.05).Conclusion:The effect of systematic health care measures before and during pregnancy for pregnant diabetes patients is accurate,which is conducive to improving patients'cognitive level and compliance,controlling patients'blood sugar,optimizing pregnancy outcomes,and ensuring patients'prognosis.It has high clinical promotion value.

关 键 词：妊娠糖尿病 孕前保健 孕期保健 认知水平 血糖 妊娠结局 满意度 

分 类 号：R714[医药卫生—妇产科学]