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时间:2018-10-24
《护理干预对妊娠期糖尿病孕妇血糖、血脂及新生儿体重的影响》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、护理干预对妊娠期糖尿病孕妇血糖、血脂及新生儿体重的影1.南海经济开发区人民医院屮心院妇产科广东佛山528234;2.佛山市第一人民医院产科广东佛山528000;3.佛山科学技术学院医学院医学护理系广东佛山528000摘要:目的探讨两种护理干预模式对妊娠期糖尿病孕妇血糖、血脂水平及新生儿体质量的影响。方法实验组选择门诊就诊血糖筛检确诊并住院分娩的GDM孕妇45例,采取孕期全程强化护理干预模式;对照组选择门诊就诊血糖筛检确诊并住院分娩的GDM孕妇50例,采取常规护理干预模式。比较分析两组GDM孕妇血糖、餐后2小时血糖、糖化血红蛋白、血脂水平及新生儿体质量水平。结果实验组孕妇血淸
2、屮血糖、餐后2小时血糖、糖化血红蛋G水平、TG水平均较对照组低,丑新生儿体质量及巨大胎儿的发生率亦减少,差异有统计学意义(P<0.05)。但是,与对照组比较,其对孕期增重,血清中TC、LDL、HDL影响不大,差异无统计学意义(P>0.05)o结论孕期全程强化护理干预能有效控制GDM孕妇血糖、血脂及新生儿体质量,将减少巨人胎儿的发生。关键词:护理干预;妊娠期糖尿病;血脂;血糖;新生儿[Abstract]ObjectiveToexploretheeffectsofnrusinginterventiononbloodglucose,bloodlipidlevelsandwight
3、ofnewbornsinpregnantwomenwithgestationaldiabetesmellitus.Methods95pregnantwomendefinitelydiagnosedasgestationaldiabetesbybloodglucosescreeningwereselectedinclinicserviceandhospitaldelivery.Theyweredividedintotwogroups.Theexperimentalgroupweretreatedwithintensivenursinginterventionduringthe
4、wholepregnancy(n=45),whilethecontrolgroupweretreatedwithconventionalnursingintervention(n=50).Thebloodglucose,2h-bloodglucose,lycosylatedhemoglobin,bloodlipidlevelsandwightofnewbornsinpregnantwomenwithgestationaldiabeteswerecomparedandanalyzedinbothgroups.ResultsThebloodglucose,2h-bloodglu
5、cose,glycosylatedhemoglobin,TGlevelsintheexperimentalgroupweredecreasedstatisticallycomparedwiththoseinthecontorlgroup(P<0.05)•Comparedwiththatinthecontrolgroup,theweightofnewbornsandtheratioofmacrosomiaintheexperimentalgroupweredecreasedsignificantly(P<0.05)•Therewasnostatisticaldifferenc
6、eintheweightgainduringgestation,TC,LDL,HDLbetweenthetwogroups(P〉0.05).ConclusionThebloodglucose,bloodfatandtheweightofnewbomscouldbecontrolledefficientlybyintensivenursinginterventiononpregnantwomenwithgestationaldiabetes,andtherateofmacrosomiamightbedecreasedbyintensivenursingintervention
7、.[Keywords]Nrusingintervention,GestatinoalDiabetesMellitus,BloodGlucose,BloodFat,Newborn妊娠期糖尿病(GestatinoalDiabetesMellitus,GDM)是指妊娠期间首次发生或首次发现的不同程度的糖代谢异常[l]oGDM发病的高危因素包括家族性糖尿病史、不良孕产史、血清脂质含量高、年龄过大等。国内外许多研究表明,妊娠晚期孕妇血脂水平升高[2】,妊娠期糖尿病孕妇血脂升高最为明显[3]。国内研究表明,妊娠妇女孕期体内糖代
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