孕妇体操联合中医食疗法对早期预防妊娠期高血压疾病的效果评价  

Evaluation of the Effect of Prenatal Exercise Combined with Traditional Chinese Medicine Diet Therapy on Early Prevention of Hypertensive Disorder Complicating Pregnancy

作　　者：张芸 丁霞 孙杰[2] 龚俊丹 张会亚 蒋树艳 胡玉琼 李良军 ZHANG Yun;DING Xia;SUN Jie(Maternal and Child Health Hospital of Qiaokou District,Wuhan 430030,China)

机构地区：[1]武汉市硚口区妇幼保健院,湖北武汉430030 [2]武汉市妇女儿童医疗保健中心

出　　处：《中国医学创新》2019年第27期164-168,共5页Medical Innovation of China

摘　　要：目的:探讨孕妇体操联合中医食疗对预防妊娠期高血压疾病的效果。方法:选取妊娠期高血压疾病预测分析系统的预测阳性孕妇160例。按照随机数字表法将其分为干预组和对照组,各80例。对照组给予普通限盐饮食及健康宣教管理措施,干预组在对照组基础上给予中医食疗及孕妇体操干预。比较两组收缩压、舒张压、血管外周阻力、血管顺应性、尿微量白蛋白浓度、妊娠期高血压疾病发病率。结果:两组第4周收缩压、舒张压比较,差异均无统计学意义(P>0.05),干预组第8周收缩压、舒张压均低于对照组(P<0.05);第4、8周,干预组血管外周阻力、尿微量白蛋白均低于对照组,血管顺应性均高于对照组,差异均有统计学意义(P<0.05)。干预组妊娠期高血压疾病发病率7.89%,低于对照组的21.25%(χ^2=5.530,P=0.019)。结论:孕妇体操联合中医食疗能有效减少妊娠期高血压疾病的发生,在保障母婴健康方面具有非常重要的意义。Objective:To explore the effect of prenatal exercise combined with traditional Chinese medicine diet therapy on early prevention of hypertensive disorder complicating pregnancy.Method:A total of 160 pregnant women with positive predictions were selected through the prediction and analysis system of pregnancyinduced hypertension.According to the random number table method,they were divided into intervention group and control group,80 cases in each group.The control group was given common salt-limited diet and health education management measures,while intervention group was given prenatal exercise combined with traditional Chinese medicine diet therapy on the basis of control group.Systolic blood pressure,diastolic blood pressure,peripheral vascular resistance,vascular compliance,urinary microalbumin concentration and the incidence of hypertensive disorder complicating pregnancy between two groups were compared.Result:Systolic blood pressure and diastolic blood pressure between two groups at the 4 th week were compared,the differences were not statistically significant(P>0.05),systolic blood pressure and diastolic blood pressure in intervention group were lower than those of control group at the 8 th week(P<0.05).At the 4 th and 8 th weeks,the peripheral vascular resistance and urinary microalbumin in intervention group were lower than those of control group,and the vascular compliance were higher than those of control group,the differences were statistically significant(P<0.05).The incidence of hypertensive disorder complicating pregnancy in intervention group was 7.89%,which was lower than 21.25% of control group( χ^2=5.530,P=0.019).Conclusion:Prenatal exercise combined with traditional Chinese medicine diet therapy can effectively reduce the occurrence of hypertensive disorder complicating pregnancy,which has a very important significance in protecting the health of mothers and infants.

关 键 词：妊娠期高血压疾病 孕妇体操 血流动力学 中医食疗 

分 类 号：R71[医药卫生—妇产科学]