临床护理路径在妊娠期糖尿病合并妊娠期高血压患者中的应用

目的 探讨妊娠期糖尿病合并妊娠高血压患者临床护理路径的的应用效果。方法 选取2017年3月~2018年5月我院收治的妊娠期糖尿病合并妊娠期高血压患者72例，按照随机数字表法分为一般组和观察组，各36例。一般组给予实施常规护理，观察组给予临床护理路径护理，比较两组护理前、后的血糖、血压水平，并随访两组患者至终止妊娠，比较两组不良妊娠结局发生率。结果 两组护理前的血糖、血压水平比较，差异无统计学意义（P＞0.05）；护理后，观察组空腹血糖、餐后2h血糖均低于一般组[（6.06±0.98）mmol/L vs（7.12±0.65）mmol/L，（8.15±0.88）mmol/L vs（9.48±0.90）mmol/L]，差异有统计学意义（P＜0.05）；观察组收缩压、舒张压均低于一般组[（128.11±3.80）mmHg vs（136.03±3.75）mmHg，（85.06±4.18）mmHg vs（90.10±4.09）mmHg]，差异有统计学意义（P＜0.05）。观察组不良妊娠结局发生率为8.33%，低于一般组的25.00%，差距有统计学意义（P＜0.05）。结论 临床护理路径对妊娠期糖尿病合并妊娠期高血压患者的血糖和血压均有积极的干预作用，能够有效改善患者健康状态，降低患者不良妊娠结局发生率。

Application of Clinical Nursing Pathway in Gestational Diabetes Mellitus Complicated with Gestational Hypertension

Objective To investigate the clinical application of clinical nursing pathways in patients with gestational diabetes mellitus and pregnancy-induced hypertension. Methods 72 patients with gestational diabetes mellitus complicated with gestational hypertension admitted to our hospital from March 2017 to May 2018 were enrolled. According to the random number table method, they were divided into general group and observation group, 36 cases each. The general group was given routine nursing care, the observation group was given clinical nursing path nursing, the blood glucose and blood pressure levels before and after the two groups were compared, and the two groups were followed up to terminate the pregnancy, and the incidence of adverse pregnancy outcomes was compared between the two groups.Results There was no significant difference in blood glucose and blood pressure between the two groups before treatment (P＞0.05). After nursing, the fasting blood glucose and 2h postprandial blood glucose in the observation group were lower than the general group[(6.06±0.98) mmol/L vs( 7.12±0.65) mmol/L, (8.15±0.88) mmol/L vs (9.48±0.90) mmol/L], the difference was statistically significant (P＜0.05); the systolic blood pressure and diastolic blood pressure in the observation group were lower than the average Groups [(128.11±3.80) mmHg vs (136.03±3.75) mmHg, (85.06±4.18) mmHg vs (90.10±4.09) mmHg], the difference was statistically significant (P＜0.05). The incidence of adverse pregnancy outcomes in the observation group was 8.33%, which was lower than that in the general group 25.00%,the difference was statistically significant (P＜0.05).Conclusion The clinical nursing pathway has positive intervention effects on blood glucose and blood pressure in gestational diabetes mellitus patients with hypertensive disorder complicating pregnancy, which can effectively improve the health status of patients and reduce the incidence of adverse pregnancy outcomes.