妊娠期糖尿病护理干预对孕妇及围生儿结局的影响

目的探究妊娠期糖尿病护理干预对孕妇及围生儿结局的影响。方法选取本院经过产前检查并确诊的妊娠期糖尿病孕妇58例作为研究对象,将其分为两组,观察组为针对孕妇血糖水平予以护理干预的孕妇（30例）,对照组为同期因某些原因导致未接受相应护理干预的妊娠期糖尿病孕妇（28例）;对两组的血糖水平以及分娩、围生儿结局进行观察、比较和分析。结果观察组巨大儿发生率、剖宫产率以及胎儿宫内窘迫发生率低于对照组,差异有统计学意义（P〈0.05）;而酮症酸中毒、新生儿窒息、早产、新生儿死亡率等方面两组差异无统计学意义（P〉0.05）。观察组在入院3、5d后的空腹血糖、餐后2h血糖水平与对照组相比差异有统计学意义（P〈0.05）。结论对处于妊娠期的糖尿病孕妇进行护理干预,能够保证孕妇的妊娠质量和保障围生儿的健康。

Outcome influences of nursing intervention on hestational fiabetes in pregnant eoman and perinatal infant

Objective To explore the outcome influences woman and perinatal infant.Methods 58 pregnant women of nursing intervention on gestational diabetes in pregnant definitely diagnosed as gestational diabetes by prenatal tests were selected in our hospital and divided into two groups.In the observation group （n=30）,nursing intervention was pro- vided aiming at blood glucose level in pregnant women,while in the control group （n=28）,pregnant women with gesta- tional diabetes due to some reason didn＇t accept the relative nursing intervention in the same period.The blood glucose level and outcomes of delivery and perinatal infant were observed,compared and analyzed in both groups.Results In the observation group,the incidence rates of macrosomia,cesarean section,fetal distress in uterus were much lower than those in the control group, with statistically significant difference （P〈0.OS）.However,ketoacidosis,neonatal asphyxia,pre- mature birth,and neonatal mortality rate didn＇t show significant differences in comparison of the two groups （P〉0.05）. The levels of fasting blood glucose and 2 hour postprandial blood glucose after patients being hospitalized for 3 days and 5 days in the observation group displayed statistically significant difference compared with those in the control group （P〈0.05）.Conclusion The nursing intervention on quality of pregnancy and health of perinatal infant. pregnant woman with gestational diabetes can ensure the