[1]杜泽莉.对妊娠期糖耐量异常孕妇实施产科门诊护理干预的效果评价[J].中国计划生育和妇产科,2018,(１):40-４２,４６.
　DU Ze-li.Evaluation on the effect of intervention on maternal nursing care in pregnant women with gestational impaired glucose tolerance[J].Chinese Journal of Family Planning & Gynecotokology,2018,(１):40-４２,４６.
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对妊娠期糖耐量异常孕妇实施产科门诊护理干预的效果评价
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年１期
页码:
40-４２,４６
栏目:
论著与临床
出版日期:
2018-01-25

文章信息/Info

Title:
Evaluation on the effect of intervention on maternal nursing care in pregnant women with gestational impaired glucose tolerance
作者:
杜泽莉
成都市妇女儿童中心医院产科门诊
Author(s):
DU Ze-li
Obstetric Clinic,Chengdu Women and Children's Central Hospital,Chengdu Sichuan, 610031,P.R.China
关键词:
妊娠期糖耐量异常; 产科门诊; 护理干预
Keywords:
gestational impaired glucose tolerance ;  obstetric clinic;  nursing intervention
分类号:
R 714256
摘要:
目的对妊娠期糖耐量异常（gestational impaired glucose tolerance,GIGT）孕妇实施产科门诊护理干预的效果评价。方法选择2014年5月至2015年12月在成都市妇女儿童中心医院建围产期保健卡并明确诊断为GIGT的孕妇60例，按照随机数字表法分为对照组与干预组各30例，两组均给予常规孕期保健（包括产前检查、孕期教育、营养指导等）和疾病控制，观察组在此基础上另增加护理干预措施。观察两组孕妇护理前、后各时期血糖水平、体重变化、相关并发症、分娩结局情况及胎儿（新生儿）情况。结果干预组孕32、36、40周的餐后2 h血糖值分别为（64±06）mmol/L、（65±05）mmol/L、（63±07）mmol/L，明显低于对照组的（75±13）mmol/L、（74±11）mmol/L、（77±16）mmol/L，差异有统计学意义（P<005）；干预组孕妇孕期增重（98±37）kg，明显少于对照组［（139±62）kg］（P<005）；干预组妊娠期高血压疾病发生率、胎儿早产率以及胎膜早破率均低于对照组（P<005）；干预组自然分娩率（567 %）高于对照组（333 %）（P<005）；干预组新生儿出生体重［（3 31524±35068）g］大于对照组［（2 88951±73037）g］（P<005）。结论 对GIGT孕妇实施产科门诊护理干预，能显著改善孕妇餐后2 h血糖水平，使新生儿出生体重更接近理想体重，并可降低相关并发症率，对促进母婴安全具有重要意义。
Abstract:
ObjectiveEvaluation on the effect of intervention on maternal nursing care in pregnant women with gestational impaired glucose tolerance(GIGT). MethodsA total of 60 pregnant women were clearly diagnosed as GIGT during establishing perinatal health care cards from May 2014 to December 2015 in Chengdu Women and Children's Central Hospital were selected. According to the number of random table method they were divided into control group and intervention group with 30 cases in each group. The two groups were given routine pregnancy care (including prenatal care, pregnancy education, nutrition guidance, etc.) and disease control, the observation group on this basis for GIGT increased nursing interventions. To observe the blood glucose level, body weight change, related complications, delivery outcome and fetal (neonatal) condition of the two groups before and after nursing care. Results2h postprandial blood glucose levels of the intervention group［（64±06）mmol/L,（65±05）mmol/L,（63±07）mmol/L］ at 32, 36 and 40 weeks were significantly lower than those of the control group ［（75±13）mmol/L，（74±11）mmol/L，（77±16）mmol/L］.The differences were statistically significant(P<005). The weight gain during pregnancy of the intervention group［（98±37）kg］ was significantly lower than that of the control group［（139±62）kg］(P<005). The incidence of gestational hypertension, fetal preterm birth rate and premature rupture of membranes was lower in the intervention group than in the control group (P<005). The spontaneous delivery rate in the intervention group(567%) was higher than that in the control group(333%) (P<005). The birth weight of neonatal group ［（3 31524±35068）g］ was heavier than that of control group［（2 88951±73037）g］(P<005). ConclusionThe intervention of obstetric care for GIGT pregnant women can significantly improve the blood glucose level of pregnant women 2 h after meals, make neonatal birth weight closer to the ideal weight and reduce the rate of related complications.Thus it is of great significance in promoting the safety of mother and child.

参考文献/References:

［1］饶芸，张新清，李江，等．妊娠期糖代谢异常与妊娠结局 ［J］．中国妇幼保健，2012，27（23）：3578-3580． ［2］嵇秀明，崔焱，夏珊敏，等．团队干预对妊娠期糖耐量异常孕妇妊娠结局的影响 ［J］．护理学杂志，2012，27（22）：38-41． ［3］绳宇，纪文文，李海苗，等．生活方式干预对妊娠期糖尿病且产后糖耐量减低产妇体质量的影响 ［J］．护理管理杂志，2012，12（11）：772-774． ［4］SWANK M L, MARSHALL N E, CAUGHEY A B, et al. Pregnancy outcomes in the super obese, stratified by weight gain above and below institute of medicine guidelines ［J］. Obstetrics and Gynecology, 2014, 124(6): 1105-1110. ［5］魏玉梅，郭琼，孙伟杰，等．不同孕前体质量指数孕妇葡萄糖耐量试验血糖值的特点及妊娠期糖尿病的检出率 ［J］．中华妇产科杂志，2015，50（11）：830-833． ［6］刘静敏，邹心忠．妊娠期糖代谢异常特点及对妊娠结局的影响 ［J］．中国妇幼保健，2013，28（21）：3424-3426． ［7］王成书，魏玉梅，杨慧霞．妊娠期糖尿病孕妇不同血糖指标异常与妊娠结局的关系 ［J］．中华妇产科杂志，2013，48（12）：899-902． ［8］吴艳，胡春华，李济金．基于即时互动信息平台的妇幼保健管理模式研究 ［J］．社区医学杂志，2015，13（1）：60-61． ［9］赵娟利，王玉华，蔡忠友，等．孕24周前空腹血糖临界值孕妇管理模式和干预措施探讨［J］．浙江中西医结合杂志，2015，25（6）：614-616． ［10］杨晓燕，徐英，佘广彤．妊娠期糖尿病孕妇膳食摄入与孕妇营养指导的意义 ［J］．中国妇幼保健，2015，30（30）：5163-5165． ［11］ 边超．孕妇营养指导的研究进展 ［J］．山西医药杂志，2015，43（5）：524-526．

更新日期/Last Update: 2018-01-25