探讨优质护理措施预防妊娠期糖尿病（GDM）孕产妇并发症的效果

孙玲

[摘要] 目的 探讨优质护理措施预防妊娠期糖尿病（GDM）孕产妇并发症的效果。方法 选取126例于2016年7月—2017年7月在该院实施产前检查的GDM孕产妇，将其随机分为对照组和观察组，对照组行常规治疗及护理，观察组在对照组基础上加施优质护理，观察并比较两组护理前后血糖控制水平及并发症的发生情况。 结果 两组孕产妇护理前的FPG及2 hPG水平比较均差异无统计学意义（P>0.05），护理后均有所下降，观察组孕产妇护理后的FPG及2 hPG水平较对照组均明显更低，差异统计学意义（P<0.05）。结论 针对GDM孕产妇，给予优质护理措施有利孕产妇血糖水平控制，同时减少孕产妇及围生儿并发症的发生，取得良好护理效果，值得在临床当中推广应用。

[关键词] 优质护理；妊娠期糖尿病；并发症

[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2018）01（b）-0005-02

Study on Effect of Excellent Nursing Measures on Preventing the Complications of Maternal Women with GDM

SUN Ling

Department of Gynecology and Obstetrics， Lanshan District Hushan Health Center， Rizhao， Shandong Province， 276806 China

[Abstract] Objective To study the effect of excellent nursing measures on preventing the complications of maternal women with GDM. Methods 126 cases of GDM maternal women for prenatal examination in our hospital from July 2016 to July 2017 were selected and randomly divided into two groups， the control group used the routine treatment and nursing， while the observation group used the excellent nursing on the basis of the control group， and the blood glucose control level and occurrence of complications were compared between the two groups. Results There were no obvious differences in the FPG and 2 hPG between the two groups before nursing（P>0.05）， after nursing， the levels decreased， and the FPG and 2 hPG levels after nursing in the observation group were obviously lower than those in the control group， and the differences were statistically significant（P<0.05）. Conclusion The excellent nursing measures is conductive to the control of blood glucose level of GDM maternal women， and reduce the occurrence of complications of maternal women and perinatal infants， and the nursing effect is good， and it is worth clinical promotion and application in clinic.

[Key words] Excellent nursing； GDM； Complication

妊娠期糖尿病（GDM）是指女性在妊娠前機体糖尿代谢正常或存在糖尿耐量减退症状，待其妊娠后才被发现或产生糖尿病的情况。据相关研究显示，女性于妊娠期发生糖尿病的概率达7%，现GDM的发病率正逐年上升[1]。为探讨优质护理措施预防GDM孕产妇并发症的效果，该案选取了2016年7月—2017年7月收治的126例于该院实施产前检查的GDM孕产妇为对象进行研究，现报道如下。

1 资料与方法

1.1 一般资料

选取126例在该院实施产前检查的GDM孕产妇为研究对象，所有孕产妇均与《妇产科学》中GDM相关诊断标准相符，经口服葡萄糖耐量试验确诊，知晓该案研究内容并签署知情同意书。排除重要脏器存在严重病变、精神疾病、造血系统疾病及合并存在其他妊娠期疾病等患者。依随机数字表法将所有孕产妇分为对照组和观察组，每组63例。对照组年龄22～36岁；平均（26.5±2.2）岁；孕……