目的 探究血糖水平控制护理对妊娠期糖尿病患者妊娠结局的影响。方法 将新乡市中心医院产科2016年1月-2017年 1月收治的200例妊娠期糖尿病患者按照随机数表法分为观察组(n=100)和对照组(n=100)，对照组采用常规护理， 观察组采用在常规护理基础上联合血糖水平控制护理，比较两组护理前后血糖水平[空腹血糖(FPG)、餐后2h血糖 (2hPG)和糖化血红蛋白(HbAlc)]、产妇妊娠结局和围产儿并发症发生情况。结果 护理后两组FPG、2hPG、HbAlc均 有显著降低(P<0.05)，观察组护理后FPG、2hPG、HbAlc水平显著低于对照组，差异具有统计学意义(P<0.05)；观 察组产妇羊水过多、胎膜早破、产后出血、剖宫产、妊娠期高血压发生率显著低于对照组，差异具有统计学意义 (P<0.05)；观察组围产儿低血糖、新生儿窒息、巨大儿、新生儿黄疸、死胎发生率显著低于对照组，差异具有统计 学意义(P<0.05)。结论 妊娠期糖尿病患者护理过程中应用血糖水平控制护理可以有效改善患者血糖水平，降低不 良妊娠结局和围产儿并发症产生风险。

Objective To explore the effect of blood glucose control nursing on the pregnancy outcomes of patients with gestational diabetes mellitus (GDM). Methods 200 cases of patients with GDM treated in the department of obstetrics in Central Hospital of Xinxiang from January 2016 to January 2017 were randomly divided into the observation group (n=100) and the control group (n=100). The control group was given routine nursing care while the observation group was given routine nursing care combined with blood glucose control nursing. The blood glucose levels [fasting blood glucose (FPG), postprandial 2h blood glucose (2hPG) and glycosylated hemoglobin (HbAlc)], maternal pregnancy outcomes and perinatal complications were compared between the two groups. Results After nursing, FPG, 2hPG and HbAlc levels in the two groups were significantly decreased (P<0.05), and the levels in observation group were significantly lower than those in the control group (P<0.05). The incidence rates of polyhydramnios, premature rupture of membranes, postpartum hemorrhage, cesarean section and pregnancy induced hypertension in the observation group were significantly lower than those in the control group (P<0.05). The incidence rates of perinatal hypoglycemia, neonatal asphyxia, macrosomia, neonatal jaundice and stillbirth in the observation group were also significantly lower than those in the control group (P<0.05). Conclusion The application of blood glucose control nursing in nursing of patients with GDM can effectively improve the patients’ blood glucose levels, and reduce the risk of adverse pregnancy outcomes and perinatal complications.