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目的探讨妊娠期糖尿病患者实施连续性护理干预对血糖控制及妊娠结局影响。方法 76例本院建档妊娠期糖尿病患者,随机分为干预组和常规组,每组38例。干预组采用连续性护理干预,常规组采用常规护理。比较两组患者血糖控制情况及妊娠结局。结果干预前两组空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(Hb A1c)水平比较差异均无统计学意义(P>0.05);干预后干预组FPG、2 h PG、Hb A1c水平均低于常规组,差异均具有统计学意义(P<0.05)。干预组患者羊水增多、胎膜早破、巨大儿、新生儿窒息、早产发生率(2.63%、2.63%、5.26%、2.63%、5.26%)均低于常规组(15.79%、18.42%、23.68%、18.42%、21.05%),差异均具有统计学意义(P<0.05)。两组产后出血发生率比较差异无统计学意义(P>0.05)。结论妊娠期糖尿病患者实施连续性护理干预可协助提高对患者血糖控制效果,降低不良妊娠结局发生率。
Objective To investigate the effect of continuous nursing intervention on blood glucose control and pregnancy outcomes in patients with gestational diabetes mellitus. Methods 76 patients with gestational diabetes in our hospital were randomly divided into intervention group and conventional group, with 38 cases in each group. Intervention group using continuous nursing intervention, conventional group using routine care. Blood glucose control and pregnancy outcomes were compared between the two groups. Results There was no significant difference in fasting blood glucose (FPG), 2 h PG, Hb A1c between the two groups before intervention (P> 0.05) PG, Hb A1c levels were lower than the conventional group, the difference was statistically significant (P <0.05). The incidence of preterm birth was 2.63%, 2.63%, 5.26%, 2.63% and 5.26% respectively in the intervention group compared with those in the conventional group (15.79%, 18.42%, 23.68 %, 18.42%, 21.05% respectively), the differences were statistically significant (P <0.05). The incidence of postpartum hemorrhage between the two groups showed no significant difference (P> 0.05). Conclusion Continuous nursing intervention in patients with gestational diabetes mellitus can help to improve the blood sugar control effect and reduce the incidence of adverse pregnancy outcomes.