GDM患者应用针对性护理对血糖、母婴结局的价值研究

目的探讨对GDM(妊娠糖尿病)患者实施针对性护理对其血糖以及母婴结局的影响。方法选取2017年10月—2019年10月期间收治的100例GDM患者,按照随机数表法分为两组,对照组(n=50)护理方式为常规护理,观察组(n=50)护理方式为针对性护理,分析护理前后血糖水平(空腹血糖、餐后2 h血糖)、妊娠结局、围产儿结局以及并发症发生率。结果观察组空腹血糖、餐后2 h血糖、妊娠结局(早产4.00%、羊水过多4.00%、胎儿窘迫2.00%、妊娠高血压2.00%、剖宫产34.00%)概率、围产儿结局(窒息4.00%、巨大儿6.00%、低血糖4.00%以及高胆红素血症20.00%)概率以及并发症发生率4.00%与对照组相比较低,差异有统计学意义(P<0.05)。结论对妊娠糖尿病患者实施针对性护理效果较好,可有效改善血糖水平、妊娠结局以及围产儿结局,降低并发症发生率。

Study on the Value of Targeted Nursing for Patients with GDM on Blood Glucose and Maternal and Infant Outcomes

Objective To investigate the effect of targeted care for patients with GDM(gestational diabetes)on their blood glucose and maternal and infant outcomes.Methods A total of 100 patients with GDM admitted from October 2017 to October 2019 were selected and divided into two groups according to the random number table method.The control group(n=50)was treated as routine care,and the observation group(n=50)was treated as routine care.For targeted care,the blood glu-cose level(fasting blood glucose,2 h postprandial blood glucose),pregnancy outcome,perinatal outcome and complication rate were analyzed before and after nursing.Results Observation group’s fasting blood glucose,2 h postprandial blood glucose,pregnancy outcome(premature delivery 4.00%,polyhydramnios 4.00%,fetal distress 2.00%,pregnancy hypertension 2.00%,cesarean section 34.00%),perinatal outcome(asphyxia 4.00%,macrosomia 6.00%,hypoglycemia 4.00%and hyperbilirubinemia 20.00%)and complication rate 4.00%were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of targeted care for patients with gestational diabetes is better,which can effectively improve blood glucose levels,pregnancy outcomes and perinatal outcomes,and reduce the incidence of complications.