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早期护理干预对妊娠高血压综合征的临床预后影响 被引量:21

Effect of early nursing intervention on clinical prognosis of patients with pregnancy-induced hypertension syndrome
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摘要 目的:探讨早期护理干预对妊娠高血压综合征产妇临床预后影响。方法:将104例妊娠高血压综合征产妇产妇随机分为干预组和对照组,每组各52例,对照组给予常规治疗和护理,干预组在常规治疗和护理基础上,给予产前早期护理干预,内容包括健康宣教、心理干预、饮食干预、预见性护理等方面,并比较两组产妇护理干预前后血压变化情况及对妊娠结局的影响。结果:干预组产妇血压改善情况显著优于对照组(P<0.05),干预组产妇早产、产后出血、胎盘早剥、剖宫产的发生率显著低于对照组(P<0.05);胎儿窘迫、新生儿窒息、围生儿死亡的发生率亦显著低于对照组(P<0.05);新生儿体质量显著高于对照组(P<0.05)。结论:对妊娠高血压综合征产妇进行早期护理干预,可明显改善产妇的血压,减少并发症的发生,并可降低不良妊娠结局的发生率。 Objective: To explore the effect of early nursing intervention on clinical prognosis of patients with pregnancy-induced hypertension syndrome(PIH).Methods: A total of 104 patients with PIH were randomly divided into control group(n=52) and intervention group(n=52).Patients in control group received regular treatment and nursing,and on the basis of the regular treatment and nursing,patients in intervention group received early nursing intervention such as health education,psychological intervention,dietary intervention and predictability care.The changes in blood pressure and the impacts on pregnancy outcome in the two groups were compared after nursing intervention.Results:The improvement of blood pressure in the intervention group were significantly better than that of the control group(P〈0.05),the incidences of maternal premature delivery,postpartum hemorrhage,placental abruption,cesarean section in the intervention group were significantly lower than those in the control group(P〈0.05);and the incidences of fetal distress,neonatal asphyxia and the incidence of perinatal child death in the intervention group were also significantly lower than those the control group(P〈0.05);but the birth weight in the intervention group was significantly higher than that in the control group(P〈0.05).Conclusions: Early nursing can significantly improve the blood pressure,reduce the incidence of complications and the incidence of adverse pregnancy outcomes.
作者 程东雁
出处 《海南医学院学报》 CAS 2012年第8期1129-1131,共3页 Journal of Hainan Medical University
基金 中国高校医学期刊临床专项资金项目(112210286)~~
关键词 早期护理干预 妊娠高血压综合征 预后 Early nursing intervention Pregnancy-induced hypertension syndrome Prognosis
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