妊娠期高血压疾病的产科治疗效果观察  

The efficacy of obstetric treatment for hypertensive disorders in pregnancy

作　　者：张玉娟 戴云先[2] 

机构地区：[1]高州市分界镇中心卫生院妇产科,525248 [2]茂名市妇幼保健院,525000

出　　处：《国际医药卫生导报》2013年第7期961-963,共3页International Medicine and Health Guidance News

摘　　要：目的探讨妊娠期高血压疾病的产科治疗效果。方法对2008年9月至2011年5月我院收入的110例妊娠期高血压患者的资料进行回顾性分析。结果患者治疗、护理2h后的收缩压、舒张压以及平均动脉压和心率均较治疗护理之前有明显的下降，差异具有统计学意义（P〈0．051。剖宫产79例，自然分娩31例，无死亡病例，且新生儿均成活，体重最小为1300g，对于低体重儿、早产儿以及有重度窒息者转至新生儿监护室做进一步的治疗和护理。重度子痫前期患者的并发症发生率明显高于其他类型。结论加强孕期护理、保健，作好产前检查，并规范化孕期系统管理，可以有助于对孕期疾病的监护以及评估，并正确对待病情，有效护理，保证母子的健康。Objective To investigate the efficacy of obstetric treatment for hypertensive disorders in pregnancy. Methods The data on 110 women with gestational hypertension who had been hospitalized during the period of September 2008 to May 2011 were retrospectively analyzed. Results Two hours after treatment and nursing, systolic blood pressure, diastolic blood pressure, mean arterial blood pressure, and heart rate were significantly decreased, with a significant statistical difference （P〈0.05）. There were 79 cases of Cesarean section and 31 cases of natural childbirth. No deaths occurred; and all the neonates survived, with a minimum weight of 1300g. Low birth weight infants, premature infants, and those with severe asphyxia were transferred to the neonatal intensive care unit for further treatment and nursing care. The incidence rate of complications was significantly higher in women with of preeclampsia than in those with other types of hypertension. Conclusions Strengthened gestational care, proper prenatal examinations and standardized system management during pregnancy is helpful in monitoring and assessing gestational disorders. Proper treatment and effective care ensure maternal and child health.

关 键 词：妊娠期高血压 治疗效果 

分 类 号：R714.246[医药卫生—妇产科学]