助产士参与产前门诊对妊娠糖尿病患者分娩结局影响

摘要

Objective To study and analyze the effect of the participation of midwives in the antenatal clinic on the birth outcome in patients with gestational diabetes mellitus. Methods Eighty-eight cases with gestational diabetes mellitus admit-ted in the clinic of our hospital from August 2014 to August 2015 were equally divided into two groups, the control group and the study group with 44 cases in each in accordance with computer sampling method. Patients in the control group were treated by the conventional antenatal clinic nursing, while those in the study group were treated by the antenatal nursing with the participation of midwives. And the blood glucose level and birth outcome of the two groups were observed, com-pared and analyzed. Results Before and after childbirth, there was fluctuation in the blood glucose levels in both groups, but the fluctuation was much less in the study group than that in the control group with statistically insignificant difference(P<0.05). The birth outcome of the study group was much better than that of the control group with statistically insignificant difference (P<0.05). Conclusion Midwives participate in the antenatal clinic can help to stabilize the blood glucose and effectively improve the birth outcome of the patients, which can be further promoted in the clinical practice.%目的 研究分析助产士参与产前门诊对妊娠糖尿病患者分娩结局的影响情况. 方法 择取该院2014年8月—2015年8月期间门诊接收的88例妊娠糖尿病患者,利用计算机抽样法将其平均分成两组,一组 44例患者进行常规产前门诊护理作为对照组;一组44例患者进行由助产士参与的产前门诊护理作为研究组,观察并对比分析两组患者的血糖变化、分娩结局情况. 结果 分娩前、后,两组患者的血糖含量出现一定的波动,但研究组患者的血糖波动幅度明显小于对照组,差异有统计学意义(P<0.05).研究组患者的分娩结局明显优于对照组,差异有统计学意义(P<0.05).结论 助产士参与产前门诊可帮助患者保持血糖的稳定性,有效改善分娩结局,可在临床中进一步推广.