孕期干预对妊娠期高血压疾病高危孕妇母婴结局的影响  

Influence of gestational intervention on outcomes of neonates and high risk gravidas with hypertensive disorders in pregnancy

作　　者：张蓉萍[1] 周玲[1] 冯娟[1] 

机构地区：[1]江苏省苏北人民医院,江苏扬州225001

出　　处：《实用临床医药杂志》2013年第8期105-107,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨采用SD-Ⅱ-A型妊高征预测分析系统预测和干预治疗对妊娠期高血压疾病高危孕妇母婴结局的影响。方法将426例行产前检查经妊娠期高血压疾病预测分析系统预测为阳性的孕妇分为干预组和对照组,对照组实行常规护理,干预组在此基础上实行生活指导、饮食指导和药物干预,比较2组妊娠期高血压疾病发病率、剖宫产率及围产儿结局的差异。结果干预组妊娠期高血压疾病的发病率(24.6%)显著低于对照组(57.3%)(P<0.01),剖宫产率(38.4%)也显著低于对照组(56.7%)(P<0.01);与对照组比较,干预组胎儿宫内生长受限、胎儿宫内窘迫、新生儿窒息等围产儿不良结局的发生率显著降低(P<0.05)。结论 SD-Ⅱ-A型妊高征预测分析系统能安全有效地对妊娠期高血压疾病进行筛查,对筛查结果阳性孕妇及早进行适当干预可降低妊娠期高血压疾病的发生率并减轻其严重程度,改善母婴结局。Objective To explore the influence of prediction and intervention treatment on the outcomes of neonates and high risk gravidas with hypertensive disorders in pregnancy by using SD-Ⅱ-A prediction analysis system.Methods 426 gravidas underwent prenatal examination of hypertensive disorders in pregnancy by using SD-Ⅱ-A prediction analysis system were selected,and their test results were positive.They were divided into intervention group and control group.The control group was conducted with conventional nursing,while the intervention group was conducted with additional life guidance,dietary guidance and drug intervention on the basis of the control group.Incidence rate of hypertensive disorders in pregnancy,the rate of cesarean section and perinatal outcome were compared between two groups.Results The incidence rate of hypertensive disorders in pregnancy in the intervention group(24.6%) was significantly lower than the control group(57.3%)(P<0.01),and the rate of cesarean section(38.4%)was significantly lower than the control group(56.7%) as well(P<0.01);compared with the control group,the incidence rate of perinatal adverse outcomes such as fetal growth restriction,fetal distress and neonatal asphyxia was reduced significantly(P<0.05).Conclusion SD-Ⅱ-A pregnancy prediction analysis system can analyze hypertensive disorders in pregnancy safely and effectively.Early and proper intervention for pregnant women with positive screening results can reduce the incidence rate of hypertensive disorders in pregnancy,reduce severity of disease and improve outcomes of gravidas and neonates.

关 键 词：妊娠期高血压疾病 孕期干预 母婴结局 

分 类 号：R473.71[医药卫生—护理学]