规律床上运动对高危妊娠孕妇子宫收缩、胎心率和产妇心理生理症状的影响  

Effect of structured bed exercise on uterine contractions,fetal heart rate patterns,and maternal psychophysical symptoms of hospitalized high-risk pregnant women:A randomized control trial

作　　者：陈雪 殷艳 CHEN Xue;YIN Yan(Huaian Maternal and Child Health Hospital,Huaian,Jiangsu 223001,China;Huaian Second People’s Hospital,Huaian,Jiangsu 223001,China)

机构地区：[1]淮安市妇幼保健院,江苏淮安223001 [2]淮安市第二人民医院,江苏淮安223001

出　　处：《中国优生与遗传杂志》2023年第2期414-418,共5页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨规律床上运动(SBE)对子宫收缩频率(UCF)、血压(BP)、心率(HR)、胎心率(FHR)和心理生理症状(身体不适、焦虑和抑郁)的影响。方法将80名高危妊娠收住院的孕妇(孕周>24周)随机分成实验组和对照组,在规律床上运动开展前30 min、结束即刻和结束后20 min,使用电子胎儿监测和患者监测UCF、BP、HR和FHR,并使用调查表测量孕妇的心理生理症状(身体不适、焦虑和抑郁)。结果UCF、BP、HR和FHR(正常基线、正常加速、正常减速和正常变异)在实验组和对照组之间没有显著差异;实验组在心理生理症状的身体不适评分有显著差异;两组之间,没有明显的抑郁和焦虑差异。结论SBE在住院高危妊娠孕妇卧床休息并没有对胎儿产生风险,同时可以减轻孕妇身体不适。因此,SBE可被视为高危妊娠孕妇的住院护理干预手段进行推广。Objective This study examined the effect on uterine contraction frequency(UCF),blood pressure(BP),heart rate(HR),fetal heart rate(FHR)patterns and psychophysical symptoms(physical discomfort,anxiety,and depression)of structured bed exercise(SBE)in hospitalized high-risk pregnant women prescribed bed rest.Methods 80 pregnant women(gestational age>24 weeks)with high-risk pregnancy were randomly divided into the experimental group and the control group.Thirty minutes before,immediately after and 20 minutes after regular bed exercise,UCF,BP,HR and FHR were monitored by electronic fetal monitoring and patients,and psychophysiological symptoms(physical discomfort,anxiety and depression)of pregnant women were measured by questionnaire.Results UCF,BP,HR,and FHR patterns(normal baseline,normal acceleration,normal deceleration and normal variation)did not differ significantly between the experimental and control groups.Moreover,there was no statistically significant difference before and after SBE in the experimental group.Also,the experimental group showed statistically significant decreases in physical discomfort score.However,there were no significant differences in depression and anxiety score between two groups.Conclusion SBE in hospitalized high-risk pregnant women under bed rest did not increase the risk to the fetus,and relieved physical discomfort.Therefore,SBE should be considered as a nursing intervention in hospitalized high-risk pregnant women.

关 键 词：焦虑 运动 胎心 高危妊娠 子宫收缩 

分 类 号：R473.71[医药卫生—护理学]