本文選題：妊娠期糖尿病　切入點：循證護理　出處：《山東醫(yī)藥》2016年38期

【摘要】：目的探討循證護理對妊娠期糖尿病(GDM)患者血糖水平及妊娠結(jié)局的影響。方法選取GDM患者120例,隨機分為觀察組和對照組各60例。對照組采用常規(guī)護理方法,觀察組采用循證護理方法,護理實施時間為入院至分娩結(jié)束。檢測兩組分娩前患者的空腹血糖(FPG)、餐后2 h血糖(2 h PG)及糖化血紅蛋白(HbA_(1c)),記錄兩組先兆流產(chǎn)、妊娠期高血壓疾病、胎膜早破、羊水異常等妊娠并發(fā)癥的發(fā)生情況,記錄并比較兩組剖宮產(chǎn)、早產(chǎn)、巨大兒、畸形兒、新生兒窒息等妊娠結(jié)局發(fā)生情況。結(jié)果分娩前觀察組FPG、2 h PG及HbA_(1c)水平均低于對照組(P均0.05)。觀察組先兆流產(chǎn)、妊娠期高血壓疾病、產(chǎn)后出血和產(chǎn)褥感染的發(fā)生率均低于對照組(P均0.05或0.01)。觀察組剖宮產(chǎn)和巨大胎兒、新生兒低血糖、新生兒高膽紅素血癥和新生兒窒息的發(fā)生率均低于對照組(P均0.05或0.01)。結(jié)論采用循證護理可有效控制GDM患者妊娠期血糖水平,降低妊娠并發(fā)癥的發(fā)生率,改善妊娠結(jié)局。
[Abstract]:Objective to explore the effect of evidence-based nursing on blood glucose level and pregnancy outcome in patients with gestational diabetes mellitus (GDM). Methods 120 patients with GDM were randomly divided into observation group and control group. The observation group was treated with evidence-based nursing method, the nursing time was from admission to the end of delivery. The fasting blood glucose (FPG) and glycosylated hemoglobin (HbA1C) were measured before delivery and 2 h postprandial blood glucose (PGG) and HbA1C respectively. The threatened abortion and hypertensive disorder complicating pregnancy were recorded in the two groups. The incidence of pregnancy complications such as premature rupture of membranes and amniotic fluid abnormalities were recorded and compared between two groups: cesarean section premature delivery macrosomia and malformation. Results the levels of FPGN 2 h PG and HbA1c) in the observation group were lower than those in the control group (P 0.05). The threatened abortion and hypertensive disorder complicating pregnancy were observed in the observation group. The incidence of postpartum hemorrhage and puerperal infection was lower than that of control group (P 0.05 or 0.01). The incidence of neonatal hyperbilirubinemia and neonatal asphyxia was lower than that of control group (P 0.05 or 0.01). Conclusion Evidence-based nursing can effectively control the level of blood glucose during pregnancy in GDM patients, reduce the incidence of pregnancy complications and improve the outcome of pregnancy.
【作者單位】： 山東省警官總醫(yī)院;山東省中醫(yī)藥研究院;日照市中醫(yī)醫(yī)院;山東中醫(yī)藥大學(xué);
【基金】：山東省自主創(chuàng)新和成果轉(zhuǎn)化課題資助項目(2014ZZCX02104)
【分類號】：R473.71;R-03
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本文編號：1689934