【摘要】 目的探讨健康干预对分娩镇痛产妇及新生儿血糖水平的影响。方法选择妊娠期糖尿病的孕妇120例随机分为观察组和对照组,每组60例。对照组常规开展糖尿病专科门诊护理项目,观察组在专科门诊护理基础上进一步进行糖尿病专科指导。记录分娩镇痛前产妇孕周、体质量指数、新生儿体质量、脐静脉血糖水平以及产妇实施分娩镇痛前（T₁）,分娩镇痛后30 min（T₂）、60 min（T₃）,宫口开至10 cm（T₄）,胎儿娩出后2 h（T₅）时点末梢血糖水平。结果 2组产妇分娩时孕周和体质量指数比较,差异无统计学意义（P> 0.05）,新生儿出生后体质量和脐静脉血糖水平比较,差异有统计学意义（P <0.05）。2组T₁、T₂时点血糖水平比较,差异无统计学意义（P> 0.05）,T₃、T₄和T₅时点血糖水平比较,差异有统计学意义（P <0.05）。结论通过糖尿病专科护理门诊的健康干预,分娩镇痛产妇分娩过程及新生儿的血糖水平更加稳定。更多还原

【Abstract】 Objective To explore the effect of health intervention on blood glucose level of pregnant women and newborns during labor analgesia. Methods A total of 120 pregnant women diagnosed as gestational diabetes mellitus were randomly divided into observation group and control group,with60 cases in each group. The control group was conducted with routine specialized outpatient care measures for diabetes,and the observation group was conducted with specialized outpatient guidance for diabetes based on specialized outpatient care measures. Gestational week,body mass index,neonatal body mass and umbilical vein blood glucose level were recorded before labor analgesia,and blood glucose levels of peripheral venous blood were recorded at the time points of before labor analgesia（ T₁）,30 min after labor analgesia（ T₂）,60 min after labor analgesia（ T₃）,uterine opening to 10 cm（ T₄）,and 2 h after delivery（ T₅）. Results There were no significant differences in gestational week and body mass index at the time point of childbirth between two groups（ P > 0. 05）,but there were significant differences in body mass and blood glucose level of umbilical venous blood after delivery between two groups（ P < 0. 05）. There were no significant differences in blood glucose levels between the two groups at T₁ and T₂（ P > 0. 05）,but there were significant differences in blood glucose level at T₃,T₄ and T₅ between the two groups（ P < 0. 05）. Conclusion Through the health intervention in diabetes specialist nursing clinic,the blood glucose levels of childbirth and neonates are more stable in pregnant women with labor analgesia.更多还原