妊娠期高血压疾病定期产检结合健康教育对母婴预后的影响  

Effects of Regular Prenatal Examination of Pregnancy-induced Hypertension Combining with Health Education on Maternal-Neonatal Outcomes

作　　者：李淑娟[1] 王林[1] 

机构地区：[1]山东省即墨市人民医院门诊部,山东即墨266200

出　　处：《系统医学》2016年第10期133-135,共3页Systems Medicine

摘　　要：目的探讨妊娠期高血压疾病定期产检结合健康教育对母婴预后的影响。方法选择2014年1月—2015年6月将在该院建立孕产妇健康档案、并于该院住院分娩的126例妊娠期高血压疾病孕产妇纳入研究对象,采用随机分为观察组和对照组各63例。对照组给予常规产前检查,观察组在定期产检过程中实施针对性的健康教育干预。比较两组孕产妇遵医行为、剖宫产率及不良母婴结局。结果观察组孕产妇在适量运动、合理饮食、定期产检及配合药物治疗方面的依从性分别为96.83%、92.06%、98.41%、84.13%、31.75%,均明显高于对照组的85.71%、79.37%、87.30%、66.67%、55.56%(P<0.05);剖宫产率、以及产妇子痫、产后出血、胎儿宫内窘迫及新生儿窒息发生率分别为61.67%、3.33%、9.17%、14.17%,明显低于对照组的74.49%、10.2%、18.37%、26.53%(P<0.05)。结论定期产检结合健康教育能提高妊娠期高血压疾病产妇的遵医行为,降低剖宫产率,改善母婴预后。Objective To explore the effects of regular prenatal examination of pregnancy induced hypertension combining with health education on maternal-neonatal outcomes. Methods 126 cases of pregnant and lying-in women with pregnancy-induced hypertension who established maternal health record and had institutional delivery in our hospital from January 2014 to June 2015 were included into objects of the study, and randomly divided into the observation group and the control group, with 63 cases in each group. The control group was given routine prenatal examination,and the observation group was carried out targeted health education intervention in the process of regular prenatal examination. The maternal treatment compliance, cesarean section rate and adverse maternal-infant outcomes of the two groups were compared. Results The treatment compliance of pregnant and lying in women of the observation group in moderate exercise, reasonable diet, regular prenatal examination and coordination drug treatment were respectively96.83%,92.06%,98.41%,84.13%,31.75%, all of which were significantly higher than those of the control group85.71% 、79.37% 、87.30% 、66.67% 、55.56%（P〈0.05）; the total incidence rates of cesarean section rate, eclampsia,postpartum hemorrhage, fetal distress in uterus and neonatal asphyxia were respectively 61.67%,3.33%,9.17%,14.17%,all of which were significantly lower than those of the control group 74.49%、10.2%、18.37%、26.53%（P〈0.05）. Conclusions Regular prenatal examination combining with health education can improve the treatment compliance of pregnant and lying in women with pregnancy-induced hypertension, reduce the cesarean section rate and improve maternal-neonatal outcomes.

关 键 词：妊娠期高血压疾病 定期产检 健康教育 母婴预后 

分 类 号：R473.71[医药卫生—护理学]