Effect of comprehensive nursing intervention on prevention of adverse pregnancy in pregnant women with diabetes
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摘要: 目的 探讨综合护理干预预防糖尿病孕产妇不良妊娠的效果.方法 选取本院妇产科收治待分娩伴糖尿病孕妇共131例作为研究对象,并分为综合护理组和常规护理组.比较2组孕妇羊水指数(AFI)、BMI、孕期增体质量量、分娩体质量、空腹血糖(FBG)及餐后2h血糖(2hPG)妊娠期指标.比较2组孕妇前置胎盘、早产、妊娠期高血压、剖宫产、羊水过多、胎儿窘迫、胎膜早破、产后出血、尿路感染等不良妊娠结局指标.记录和比较围产儿健康状况.结果 综合护理组孕妇AFI、BMI、孕期体质量增量、分娩体质量、FBG及2 hPG均显著低于常规护理组(P＜0.05).综合护理组孕妇前置胎盘、早产、妊娠期高血压、剖宫产、羊水过多、胎儿窘迫、胎膜早破、产后出血、尿路感染的发生率均显著低于常规护理组(P＜0.05).综合护理组围产儿肺炎、缺血缺氧性脑病、巨大儿、低血糖和高胆红素血症发生率以及窒息发生率均显著低于常规护理组(P＜0.05).结论 综合护理干预能够有效降低妊娠期糖尿病孕妇不良妊娠结局的发生率.Abstract: Objective To explore the effect of comprehensive nursing intervention on prevention of adverse pregnancy in pregnant women with diabetes.Methods A total of 131 pregnant women with diabetes were selected and divided into the comprehensive nursing group and the conventional nursing group.The amniotic fluid index (AFI),BMI,gestational weight gain,birth weight,FBG and 2 h PG were recorded and compared between the two groups.Placenta,premature,pregnancy induced hypertension,cesarean section,over amniotic fluid,fetal distress,premature rupture of membranes,postpartum hemorrhage,urinary tract infection and other adverse pregnancy outcome indicators were compared.The health status of perinatal infants was compared.Results The AFI,BMI,gestational weight gain,weight,FBG and 2 h PG were significantly lower in the comprehensive nursing group than those in the routine nursing group (P ＜ 0.05).In the comprehensive nursing group,incidence rates of placenta previa,gestational hypertension,premature birth,cesarean delivery,polyhydramnios,fetal distress,premature rupture of membranes,postpartum hemorrhage,urinary tract infection rate were significantly lower than those in the conventional nursing group (P ＜ 0.05).In the comprehensive nursing group,the incidence rates of perinatal pneumonia,hypoxic-ischemic encephalopathy,macrosomia,hypoglycemia and hyperbilirubinemia rate were significantly lower than those in the conventional nursing group (P ＜ 0.05),and asphyxia rate was significantly lower than the conventional nursing group (P ＜ 0.05).Conclusion Comprehensive nursing intervention can effectively reduce the incidence rate of adverse pregnancy outcomes in pregnant women with gestational diabetes mellitus.
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期刊类型引用(17)
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