一例2型糖尿病视网膜病变合并妊娠并发慢性高血压患者的围生育期管理

Perinatal management of a patient with type 2 diabetic retinopathy and chronic hypertension during pregnancy

ES评分 0

DOI 10.12208/j.jacn.20241451
刊名
Journal of Advances in Clinical Nursing
年,卷(期) 2024, 3(12)
作者
作者单位

广州医科大学附属第三医院 广东广州 ;
;

摘要
总结1例2型糖尿病视网膜病变合并妊娠并发慢性高血压患者的围生育期管理经过。管理要点包括:(1)成立围生育期医护一体管理团队,早诊断、早干预、早治疗;(2)胰岛素、二甲双胍控制血糖,拉贝洛尔、硝苯地平控制血压,阿司匹林预防子痫前期,联合生活方式精细化管理;(3)微信助力群线上延续性管理,全程监测,实时调整方案;(4)选择合适分娩时机与方式,产后随访;(5)人文关怀贯穿始终。经过治疗与护理后,患者于34+1周行剖宫产术,术后6d出院。随访3个月,母婴结局良好。
Abstract
This paper summarizes the perinatal management of a patient with type 2 diabetic retinopathy and chronic hypertension during pregnancy. The key points of management include: (1) Establishing a perinatal medical and nursing integrated management team, early diagnosis, early intervention, and early treatment; (2) Insulin and metformin to control blood sugar, labetalol and nifedipine to control blood pressure, aspirin to prevent preeclampsia, and combined lifestyle fine management; (3) Online continuity management through WeChat support group, full-process monitoring, and real-time adjustment of plans; (4) Choosing the appropriate time and method of delivery, and postpartum follow-up; (5) Humanistic care throughout. After treatment and nursing, the patient underwent cesarean section at 34+1 weeks and was discharged 6 days after surgery. Follow-up for 3 months showed good maternal and infant outcomes.
关键词
2型糖尿病;妊娠;高血压;疾病管理
KeyWord
Type 2 diabetes; Pregnancy; Hypertension; Disease management
基金项目
页码 12-14
  • 参考文献
  • 相关文献
  • 引用本文

谢昕彤*,连雪,黄丽华,黎思颖,吴伟珍,曾丽珠*. 一例2型糖尿病视网膜病变合并妊娠并发慢性高血压患者的围生育期管理 [J]. 临床护理进展. 2024; 3; (12). 12 - 14.

  • 文献评论

相关学者

相关机构