程锦秀

[摘要] 目的 探讨临床护理路径在糖尿病合并妊娠期高血压患者中的应用。方法 选择该院2018年9月—2019年9月收治的妊娠期糖尿病合并高血压患者82例，根据数字随机法分成对照组和观察组，各41例，对照组患者实行常规护理，观察组患者实行临床护理路径护理。比较两组患者护理前后的血糖和血压水平、依从率，以及护理后的不良妊娠结局。结果 护理前两组患者的FBG、2 hPG、舒张压、收缩压和依从率比较均差异无统计学意义（P>0.05），护理后观察组患者的FBG、2 hPG、舒张压、收缩压均低于对照组患者，差异有统计学意义（P<0.05），护理后观察组患者的产后出血、胎盘早剥、胎儿窘迫、新生儿窒息、早产儿、巨大儿发生率低于对照组患者，差异有统计学意義（P<0.05）。结论 临床护理路径在妊娠期糖尿病合并高血压患者中能够有效降低患者的血糖和血压水平，提高患者的治疗和护理的依从率，并有助于改善患者的母婴妊娠结局。

[关键词] 临床护理路径;妊娠期糖尿病;妊娠期高血压

[中图分类号] R59          [文献标识码] A          [文章编号] 1672-4062（2020）08（a）-0180-03

[Abstract] Objective To explore the application of clinical nursing pathway in patients with gestational diabetes mellitus combined with hypertension. Methods 82 cases of patients with gestational diabetes mellitus complicated with hypertension admitted to our hospital from September 2018 to September 2019 were selected and divided into control group and observation group with 41 cases each according to the numerical randomization method. Patients in the control group received routine nursing and patients in the observation group received clinical nursing path nursing. Blood glucose and blood pressure levels， compliance rates and adverse pregnancy outcomes before and after nursing were compared between the two groups. Results Before treatment of two groups of patients with FBG， 2 hPG， diastolic and systolic blood pressure and compliance rate are not statistically significant（P>0.05）， the observation group of patients after nursing of FBG， 2 hPG， diastolic and systolic blood pressure were lower than the control group patients， the difference was statistically significant（P<0.05）， the observation group after nursing care of patients with postpartum hemorrhage， placental abruption， fetal distress and neonatal asphyxia， premature babies， the incidence of macrosomia is lower than the control group patients， the difference was statistically significant（P<0.05）. Conclusion The clinical nursing pathway can effectively reduce the blood glucose and blood pressure level of patients with gestational diabetes mellitus combined with hypertension， improve the compliance rate of treatment and nursing of patients， and contribute to the improvement of maternal and child pregnancy outcome of patients.

[Key words] Clinical nursing path; Gestational diabetes;Gestational hypertension

现如今经济水平和生活水平均已有显著提高，由于妊娠期特殊的生理状态，血糖和血压不够稳定，又由于营养摄入过剩、运动量不足等情况，导致妊娠期糖尿病和妊娠期高血压发病率均有所升高[1]。妊娠期糖尿病合并高血压的致病机制与患者的日常生活习惯息息相关，所以在治疗的过程中，需要高质量的护理措施。临床护理路径是基于临床路径的护理模式，能够根据妊娠期糖尿病合并高血压的疾病特征和发展特性进行针对性的护理[2]。因此，2018年9月—2019年9月间该研究以妊娠期糖尿病合并高血压患者82例作为研究对象，探讨临床护理路径在妊娠期糖尿病合并高血压患者中的应用，现报道如下。

1  资料与方法

1.1  一般资料

选择该院收治的妊娠期糖尿病合并高血压患者82例，根据数字随机法分成对照组和观察组，各41例。对照……