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妊娠糖尿病是指未怀孕时并未出现血糖增高的情况,而在妊娠后出现的程度不同的糖耐量的异常。妊娠糖尿病在妊娠中晚期发病较多,临床表现多为餐后血糖明显增高而空腹血糖却较一般人下降,并且较容易发生糖尿病肾病等并发症。随着我国人民生活水平的不断提高,妇女怀孕后的饮食更上一个档次而运动量却骤减。这便造成我国的妊娠糖尿病发病几率逐年升高。根据国内外相关报道所知,在世界范围内妊娠糖尿病的病发率为2%~6%,这些患者如不能得到有效的药物治疗及专业护理,极可能对孕妇及胎儿造成终身影响。妊娠糖尿病是孕妇妊娠时极高危的情况,血糖过高很容易造成巨大儿、羊水过多、早产、酮症酸中毒甚至畸形等不良后果。为了避免这些不良后果的发生,孕妇各个方面的护理及血糖的控制显得尤为重要。同时应该通过筛查尽早的发现妊娠糖尿病患者,从而能够及时的给予孕妇药物治疗及临床护理,保证母子健康。为了研究妊娠糖尿病孕妇在分娩前及分娩后的护理方法 ,现对小东庄社区卫生服务中心妇科收治的妊娠糖尿病患者的常规护理、用药护理、饮食护理及运动护理等方面介绍如下。
Gestational diabetes mellitus refers to the case of no increase in blood glucose when not pregnant, and the degree of occurrence of abnormal glucose tolerance after pregnancy. Gestational diabetes more in the second trimester of pregnancy, clinical manifestations of postprandial blood glucose were significantly higher than the average fasting blood glucose decreased, and more prone to complications such as diabetic nephropathy. As the standard of living of our people continues to increase, the diet of pregnant women after pregnancy is even higher and the amount of physical activity plummeted. This will cause our country the incidence of gestational diabetes increased year by year. According to the relevant reports at home and abroad, the incidence of gestational diabetes in the world is 2% -6%. If these patients can not get effective drug treatment and professional nursing, they may have a lifelong impact on pregnant women and fetus. Gestational diabetes is a very high risk of pregnancy in pregnant women, high blood glucose can easily lead to huge children, polyhydramnios, premature birth, ketoacidosis and even deformities and other adverse consequences. In order to avoid the occurrence of these adverse consequences, pregnant women in all aspects of care and blood sugar control is particularly important. At the same time, we should find out the patients with gestational diabetes as early as possible through screening, so that the medication and clinical nursing of pregnant women can be given in time to ensure the health of both mother and child. In order to study pregnant women with gestational diabetes before childbirth and after childbirth care methods, now Xiaodongzhuang Community Health Center gynecological treatment of gestational diabetes patients routine care, medication care, diet and sports care and other aspects are described below.