循征护理干预对妊娠糖尿病母婴结局的影响分析

目的：探究循证护理对妊娠糖尿病（GDM）患者母婴结局的影响。方法：选取2012年6月-2014年6月于本院住院的66例GDM患者,按照随机数字表法分为研究组与对照组,每组33例。对照组行常规护理,研究组行循证护理,比较两组血糖控制情况和母婴结局。结果：干预后研究组FBG、2 h PG、Hb A1c改善程度均优于对照组,差异均有统计学意义（P〈0.05）;研究组妊娠高血压病、胎膜早破和早产发生率均低于对照组,差异均有统计学意义（P〈0.05）;研究组巨大儿、高胆红素血症发生率均低于对照组,差异均有统计学意义（P〈0.05）。结论：循证护理干预可有效控制GDM患者血糖水平,并改善其母婴结局。

Analysis on the Effect of Evidence-based Nursing Intervention in Maternal and Neonatal Outcomes of Patients with Gestational Diabetes

Objective：To explore the influence of evidence-based nursing on maternal and neonatal outcomes of patients with gestational diabetes mellitus（GDM）. Method： 66 patients with GDM were selected in our hospital from June 2012 to June 2014, which were randomly divided into the study group and the control group, 33 cases in each group. The control group received routine nursing, whereas the study group was given evidence-based nursing. And the glycemic control and maternal and neonatal outcomes of the two groups were compared. Result：After the intervention, the improvement in FBG, 2 h PG and HbA1c of the study group were better than the control group, and the difference were statistically significant（P〈0.05）. The incidences of pregnancy hypertension, premature rupture of membranes and premature delivery of the study group were lower than the control group, the difference were statistically significant（P〈0.05）. The incidence of fetal macrosomia and hyperbilirubinemia of the study group were both lower than the control group, and the difference were statistically significant（P〈0.05）.Conclusion：Evidence-based nursing intervention can effectively control the level of blood glucose of patients with GDM and can also improve the maternal and neonatal outcomes.