早期综合护理干预在妊娠高血压中的应用价值研究周宇航吴海波通讯作者中国人民解放军海军总医院妇产科100048【摘要】目的：探讨早期综合护理干预对妊娠高血压综合征患者的影响。方法：选择我院2010年1月-2014年5月收治入院的妊娠高血压患者100例，随机分为观察组和对照组，对照组给予常规护理，观察组在此基础上给予早期综合护理干预，评价护理干预效果。结果：100例妊娠期高血压患者均自然分娩或因产科指征进行剖宫产分娩，均未发生脑血管意外、妊娠期高血压性心脏病等并发症，母婴健康状况良好。两组患者经不同护理措施干预后，观察组患者的血压恢复至正常范围，对照组患者血压极显著低于对照组(P<0.05)；与对照组相比，观察组患者尿液中蛋白的含量显著降低(P<0.05);产后2.5小时内岀血量显著少于对照组(P<0.05);观察组产妇剖宫产、胎盘早剥、产后出血、子痫等发生率明显低于对照组(P<0.05);观察组产妇Appagar评分高于对照组，而焦虑评分低于对照组，组间差异有统计学意义(P<0.05).结论：对妊娠高血压患者实施早期综合护理干预能够对控制血压及妊娠结局均有改善。【关键词】妊娠高血压综合征；护理干预；效果【中图分类号】R473.71【文献标识码】B【文章编号】1674-8999(2015)8-0306-02EarlycomprehensivenursinginterventionontheappliedvalueofhypertensivedisordersinpregnancyZhouYuhangWuHaibo*NavyPLAGeneralHospitalDepartmentofgynaecologyandobstetrics100048【Abstract】Objective:Toinvestigatetheearlycomprehensivenursinginterventiononthepatientswithpregnancyinducedhypertensionsyndrome.Methods:100patientswithpregnancyinducedhypertensioninourhospitalfrom2010Januarytochoose-2014yearinMayadmittedtohospitalpatients,randomlydividedintoobservationgroupandcontrolgroup,thecontrolgroupwasgivenconventionalnursing,theobservationgroupbasedonthegivenearlycomprehensivenursingintervention,effectevaluationofnursingintervention.Results:100casesofpatientswithhypertensionofpregnancyarenaturalchildbirthorforobstetricindicationsforcesareandelivery,werenothavecerebralvascularaccident,gestationalhypertensiveheartdiseaseandothercomplications,maternalandchildhealthingoodcondition.Twogroupsofpatientswithdifferentnursingmeasuresaftertheintervention,thepatientsinobservationgroupwerebloodpressurereturnedtonormalrange,thecontrolgrouppatientsbloodpressurewassignificantlylowerthanthatofthecontrolgroup(P<0.05);comparedwiththecontrolgroup,theobservationgrouppatientsintheurineproteincontentdecreasedsignificantly(P<0.05);postpartumhemorrhage2.5hourswassignificantlylessthanthatofthecontrolgroup(P<0.05);observationgroupcesareansection,placentalabruption,postpartumhemorrhage,theincidenceofpreeclampsiawassignificantlylowerthanthatofcontrolgroup(P<0.05);groupofwomenobservedtheAppagarscorewashigherthanthecontrolgroup,andtheanxietyscoreswerelowerthanthecontrolgroup,therewassignificantdifferencebetweenthegroups(P<0.05).Conclusion:pregnancyinducedhypertensionpatientswithearlycomprehensivenursinginterventioncanimprovebloodpressurecontrolandthepregnancyoutcomeofboth.【keyword】pregnancyinducedhypertensionsyndrome;nursingintervention;effect妊娠高血压综合症（简称妊高症）指的是孕妇妊娠20周〜24周后出现的高血压、尿蛋白及水肿［1】。该类疾病是妇产科临床中较为常见的对母体和婴儿都有较大危害的妊娠时特有的疾病，是造成孕妇与胎儿、新生儿死亡的主要原因之一。该类疾病在我国的发病率大致在10%上下，怀孕前及妊娠早期患奋高血压、蛋白尿或者水肿、糖尿病、慢性肾炎等疾病的孕妇更应该特别注意。其临床症状主要表现为头晕、头痛、视力模糊、胸闷等，对部分重度妊高症患者可能引发子痫［2】。所以，对妊高症患者的临床护理的核心是控制好血压，在接受药物治疗...