正念行走对高危孕妇预防子痫前期研究  

Study on the prevention of preeclampsia by mindful walking for high-risk pregnant women

作　　者：叶文 方晓红[1] 王连云[1] 熊文栋[1] 童夏 王繁[1] YE Wen;FANG Xiaohong;WANG Lianyun;XIONG Wendong;TONG Xia;WANG Fan(Department of Obstetrics,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第二医院产科,浙江温州325000

出　　处：《中国现代医生》2021年第12期67-71,共5页China Modern Doctor

基　　金：国家自然科学基金资助项目(81501280);浙江省医药卫生科技计划项目(2018ZD034);浙江省温州市公益性科技计划项目(Y20170607)。

摘　　要：目的研究正念行走对高危孕妇预防子痫前期的可行性,同时评价正念行走与阿司匹林对子痫前期预防的有效性。方法选取2018年1月至2019年12月在温州医科大学附属第二医院产科治疗的妊娠期高血压高危孕妇,随机分为三组,均进行正常产检流程,试验组(n=28)进行正念行走锻炼,给药组(n=28)服用低剂量阿司匹林,对照组(n=31)无干预措施。分析三组高危孕妇的母胎结局。结果试验组和给药组孕妇妊娠期高血压发生率(10.71%、10.71%)略高于对照组(6.50%),但子痫前期发生率(3.60%、0.00%)显著低于对照组(22.60%),三组比较,差异有统计学意义(P<0.05)。对照组IUGR发生率(22.60%)高于试验组(0.00%)和给药组(10.71%),三组比较,差异有统计学意义(P<0.05)。试验组新生儿出生体重为(3503.57±402.52)g大于给药组的(3079.29±452.64)g和对照组的(3024.50±662.99)g,三组比较,差异有统计学意义(P<0.05)。结论高危孕妇孕期进行系统的正念行走干预或小剂量阿司匹林给药,均对子痫前期的发生具有一定预防作用,正念行走训练无经济压力、安全有效,可以作为预防子痫前期的有效措施之一。Objective To study the feasibility of mindful walking in the prevention of preeclampsia for high-risk pregnant women,and to evaluate the effectiveness of mindful walking and aspirin in the prevention of preeclampsia.Methods The eligible pregnant women with high risk of hypertension during pregnancy were enrolled in the department of obstetrics in the Second Affiliated Hospital of Wenzhou Medical University from January 2018 to December 2019 were selected and randomly divided into three groups.All three groups were given a normal antenatal inspection process,the test group(n=28)was given mindful walking exercise,the medication group(n=28)was given low-dose aspirin,the control group(n=31)was given no intervention measures.The maternal and fetal outcomes of the three groups of high-risk pregnant women were analyzed.Results The prevalence of hypertension during pregnancy in the pregnant women in the test group and medication group(10.71%,10.71%)was slightly higher than that in the control group(6.5%).However,the incidence rate of preeclampsia(3.6%,0.00%)was significantly lower than that in the control group(22.6%),the differences between the three groups were statistically significant(P<0.05).The incidence rate of fetal intrauterine growth restriction in the pregnant women in the control group(22.60%)was higher than that in the test group(0.00%)and medication group(10.71%),the differences between the three groups were statistically significant(P<0.05).The birth weight of newborns in the test group(3503.57±402.52)g was greater than that in the medication group(3079.29±452.64)g and the control group(3024.50±662.99)g,the differences between the three groups were statistically significant(P<0.05).Conclusion Systematic mindful walking intervention or low-dose aspirin administration during pregnancy for high-risk pregnant women have a certain preventive effect on the occurrence of preeclampsia.Mindful walking training has no economic pressure,it is safe and effective,can be used as one of the effective measures to preve

关 键 词：妊娠期高血压 子痫前期 正念行走 高危孕妇 

分 类 号：R714.24[医药卫生—妇产科学]