正念干预对高危孕妇妊娠血压的影响及预防子痫前期的研究  

Effect of mindfulness intervention on blood pressure of high-risk pregnant women during pregnancy and prevention of preeclampsia

作　　者：叶文 方晓红[1] 熊文栋[1] 王连云[1] 王剑平 童夏 王繁[1] YE Wen;FANG Xiaohong;XIONG Wendong;WANG Lianyun;WANG Jianping;TONG Xia;WANG Fan(Department of Obstetrics,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou325000,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17期60-64,共5页China Modern Doctor

基　　金：国家自然科学基金(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：目的研究正念干预(正念身体扫描)对高危孕妇妊娠血压的影响,同时探讨预防子痫前期的可行性。方法于2018年6月至2019年6月在温州医科大学附属第二医院产科纳入符合条件的妊娠期高血压高危孕妇,将其随机分为两组。试验组(n=27)在规定的时间进行正念身体扫描练习,对照组(n=39)无干预措施,同时两组均进行正常产检流程。最后分析两组高危孕妇的母婴结局。结果分别调整两组孕妇干预前的SBP、DBP,干预后试验组孕妇较对照组更有效的降低SBP、DBP(95%CI:6.797~12.276 mmHg,P<0.05;95%CI:3.070~6.963 mmHg,P<0.05)。试验组孕妇妊娠期高血压发生率为11.1%,略高于对照组的10.3%,但差异无统计学意义(P>0.05);试验组子痫前期发生率为0.0%,显著低于对照组的20.5%,差异有统计学意义(P<0.05)。试验组孕妇分娩孕龄为(38.8±1.10)周,较对照组的(37.8±2.17)周长,差异有统计学意义(P<0.05)。结论高危孕妇进行系统的正念身体扫描练习能降低妊娠血压,对子痫前期的发生具有一定的预防作用,正念身体扫描训练无经济压力,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 effect of mindfulness intervention(mindfulness body scanning)on blood pressure of high-risk pregnant women during pregnancy,and to explore its feasibility in preventing preeclampsia.Methods Eligible pregnant women with high risk of gestational hypertension in the Department of Obstetrics of the Second Affiliated Hospital of Wenzhou Medical University from June 2018 to June 2019 were included as the research objects.They were randomly divided into two groups.The experimental group(n=27)underwent mindful body scanning at the specified time,while the control group(n=39)received no intervention measures.Both groups underwent normal prenatal examination.Finally,the maternal and infant outcomes of the two groups of high-risk pregnant women were analyzed.Results After adjusting SBP,DBP before intervention in both groups,after intervention,the SBP,DBP decreased in the experimental group effectively(95%CI:6.797-12.276 mg,P<0.05;95%CI:3.070-6.963 mmHg,P<0.05).The incidence of hypertensive disorder complicating pregnancy in the experimental group was 11.1%,which was slightly higher than that of(10.3%)in the control group,but without significant difference(P>0.05).The incidence of preeclampsia was 0.0%in the experimental group,which was significantly lower than that of(20.5%)in the control group,with statistically significant difference(P<0.05).The gestational weeks were(38.8±1.10)weeks in the experimental group,which was longer than that of(37.8±2.17)weeks in the control group,with statistically significant difference(P<0.05).Conclusion Systematic mindful body scanning can reduce the pregnancy blood pressure of high-risk pregnant women and have a certain preventive effect on the occurrence of preeclampsia.Mindful body scanning has no economic pressure,with high safety and effectiveness,which can be used as one of the effective measures to prevent preeclampsia.

关 键 词：妊娠期高血压 子痫前期 正念干预 高危孕妇 

分 类 号：R714.24[医药卫生—妇产科学]