高连太

[摘要] 目的 探讨护理干预对妊娠糖尿病患者血糖控制的影响。方法 选择该院于2015年8月—2016年8月收治的100例妊娠糖尿病患者作为该次的研究对象，所有患者随机分为对照组和观察组，每组50例。对对照组患者实施常规护理干预，对观察组患者在对照组的基础上实施针对性的综合护理干预，对比两组患者血糖的控制情况。 结果 观察组患者在空腹、三餐后以及夜间的血糖控制情况均优于对照组患者，两组之间差异有统计学意义（P<0.05）；两组患者间总并发症发生率差异有统计学意义（P<0.05），观察组并发症发生率明显低于对照组。 结论 对妊娠糖尿病患者实施针对性的综合护理干预可以有效的控制患者的血糖水平，并且能在一定程度上降低不良妊娠的发生率，保障了新生儿的健康状况，具有较高的临床价值。

[关键词] 护理干预；妊娠糖尿病；血糖控制

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2017）07（b）-0027-03

Effect of Nursing Intervention on the Blood Glucose Control of Patients with Gestational Diabetes

GAO Lian-tai

Department of Gynecology and Obstetrics， Lanshan District Peoples Hospital， Linyi， Shandong Province， 276000 China

[Abstract] Objective To study the effect of nursing intervention on the blood glucose control of patients with gestational diabetes. Methods 100 cases of patients with gestational diabetes admitted and treated in our hospital from August 2015 to August 2016 were selected and randomly divided into two groups with 50 cases in each， the control group adopted the routine nursing intervention， while the observation group adopted the targeted comprehensive nursing intervention on the basis of the control group， and the blood glucose controlling situation were compared between the two groups. Results The fasting blood glucose， postprandial blood glucose and blood glucose at night in the observation group were better than those in the control group， and the difference was obvious（P<0.05）， and the difference in the incidence rate of total complications between the two groups was obvious（P<0.05）， and the incidence rate of complications in the observation group was obviously lower than that in the control group. Conclusion The targeted comprehensive nursing intervention for patients with gestational diabetes can effectively control the blood glucose level and reduce the incidence rate of adverse pregnancy and ensure the health conditions of newborns and the clinical value is high.

[Key words] Nursing intervention； Gestational diabetes； Blood glucose control

妊娠糖尿病是孕婦妊娠期的常见疾病，是指妊娠期的孕妇出现血糖异常代谢的情况[1]。随着社会的发展，生活节奏的加快，孕妇妊娠糖尿病的发病率呈现出一个逐年上升的趋势。妊娠糖尿病对新生儿及孕妇有较大危害，可导致孕妇出现羊水过多、呼吸窘迫；新生儿发育畸形甚至死亡的情况[2]。治疗妊娠糖尿病的关键在于对孕妇血糖水平的控制，该次研究选择该院于2015年8月—2016年8月收治的100例妊娠糖尿病患者作为研究对象，探讨护理干预对妊娠糖尿病患者血糖控制的影响，取得较好的成效，现报道如下。

1 资料与方法

1.1 一般资料

选择该院收治的100例妊娠糖尿病患者作为该次的研究对象，所有患者随机分为对照组和观察组，每组50例。观察组患者的年龄在22～35岁之间，平均（29.3±3.7）岁；孕周25～37周，平均（29.2±4.3）周。对照组患者的年龄在21～36岁之间，平均（28.8±3.8）岁；孕周24～38周，平均（29.6±5.5）周，具体一般资料见表1。……