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目的探讨护理干预对糖尿病合并妊娠致胎儿窘迫孕妇的影响。方法选取2014年6月至2015年6月抚顺矿务局总医院收治的糖尿病合并妊娠的孕妇98例作为研究对象,所有孕妇空腹血糖均≥5.8 mmol/L,且胎儿出现宫内窘迫症,采用随机数字表法将其分为观察组与对照组,每组49例。对照组孕妇给予常规护理,观察组孕妇在对照组基础上实施全面护理,比较两组孕妇出院前血糖控制情况、并发症情况及妊娠结局。结果出院前,观察组孕妇的空腹血糖、餐后2 h血糖及糖化血红蛋白水平均明显低于对照组,差异均有统计学意义(均P<0.05);观察组孕妇羊水粪染Ⅱ~Ⅲ度、胎动<3次/h及宫缩间隙胎心率>160次/min或<120次/min发生率均明显低于对照组,差异均有统计学意义(均P<0.05);观察组孕妇羊水过多、早产、妊娠高血压及新生儿病理性黄疸发生率均明显低于对照组,差异均有统计学意义(均P<0.05)。结论对糖尿病合并妊娠致胎儿窘迫孕妇实施全面护理,能有效改善孕妇血糖水平、降低并发症发生率、改善妊娠结局。
Objective To investigate the effect of nursing intervention on pregnant women with fetal distress caused by diabetes complicating pregnancy. Methods A total of 98 pregnant women with diabetes complicated with pregnancy admitted to the General Hospital of Fushun Mining from June 2014 to June 2015 were selected as study subjects. All pregnant women had fasting blood glucose ≥ 5.8 mmol / L and fetal distress syndrome. Random number table method was divided into observation group and control group, 49 cases in each group. The pregnant women in the control group were given routine care. The pregnant women in the observation group were given complete nursing care on the basis of the control group. The control of blood glucose, complications and pregnancy outcomes were compared between the two groups before discharge. Results Before discharge, the levels of fasting blood glucose, postprandial blood glucose and glycated hemoglobin at 2 h in observation group were significantly lower than those in control group (all P <0.05) , Fetal movement <3 times / h and systolic fetal heart rate> 160 times / min or <120 times / min were significantly lower than the control group, the difference was statistically significant (all P <0.05) Polyhydramnios, premature birth, pregnancy-induced hypertension and neonatal pathological jaundice were significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion The comprehensive nursing care of pregnant women with fetal distress caused by diabetes mellitus and pregnancy can effectively improve the blood sugar level of pregnant women, reduce the incidence of complications and improve the pregnancy outcome.