早期护理干预妊娠高血压疾病围生期妊娠不良结局局DOI：10.14163/j.cnki.11-5547/r.2017.05.079Influenceofearlynursinginterventiononperinataloutcomeofpatientswithpregnancy-inducedhypertensiondiseaseWANGShao-na,WANGQiu-xing,JIANGShu-na.DepartmentofGynaecologyandObstetrics,ShantouCityChenghaiDistrictPeople’sHospital,Shantou515800,China[Abstract]ObjectiveToexploretheinfluenceofearlynursinginterventiononperinataloutcomeofpatientswithpregnancy-inducedhypertensiondisease.MethodsAtotalof86patientswithpregnancy-inducedhypertensiondiseaseasstudysubjectswererandomlydividedintointerventiongroupandcontrolgroup,with43casesineachgroup.Theinterventiongroupreceivedearlynursingintervention,andthecontrolgroupreceivedconventionalnursing.Comparisonweremadeondeliveryway,pregnancycomplicationsandhigh-riskinfantsbirthratesintwogroups.ResultsTheinterventiongrouphad---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---【关键早期护理干预；妊娠高血压疾病;生期;妊娠不良结18caesareansectioncases(41.86%),25vaginaldeliverycases(58.14%),whilethecontrolgrouphad29caesareansectioncases(67.44%),14vaginaldeliverycases(32.56%).Bothgroupshadstatisticallysignificantdifferenceindeliveryways(P<0.05).Theinterventiongrouphadobviouslylowerincidenceofcomplicationsas11.63%than35.56%inthecontrolgroup,andthedifferencehadstatisticalsignificance(P<0.05).Theinterventiongrouphadobviouslylowerhigh-riskinfantsbirthratesas13.95%than39.53%inthecontrolgroup,andthedifferencehadstatisticalsignificance(P〈0.05).ConclusionImplementofearlynursinginterventioninperinatalperiodofpregnancy-inclucedhypertensiondiseasepatientscanreducetheincidenceofpregnancycomplicationsandadversepregnancyoutcomes.Ithassignificantclinicalimplementeffect.【Keywords］Earlynursingintervention；Pregnancy-inducedhypertensiondisease；Perinatal；Badpregnancyoutcome妊娠高血?杭膊//?妊娠期特有疾病，为临床中引起妊娠不良结局主要疾病之一，我国发病率为9.4%，国外报道发病率为7%〜12%，多见于初产妇、羊水过多、多胎妊娠孕妇，以血压升高、水肿和蛋白尿为主要临床表现［1-4］。妊娠高血压疾病患者易发生胎盘早剥、---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---早产等，如预防和治疗不恰当可导致不良妊娠结局。临床护理工作在妊娠高血压疾病中早期干预对降低危险因素、保障妊娠安全至关重要。本文旨在探宄早期护理干预在妊娠高血压疾病患者围生期中实施对妊娠结局的影响，现报告如下。1资料与方法1.1一般资料选取2014年6月〜2015年10月本院住院分娩妊娠高血压疾病患者86例为研究对象，随机将其分为干预组和对照组，每组43例。患者诊断均符合《妊娠高血压疾病诊治指南》［2］，明确诊断为妊娠高血压疾病；所有患者均在知情同意下自愿配合完成本次干预和研究；排除精神异常、理解能力障碍或不能配合完成本次研究和干预患者。干预组年龄21〜43岁，平均年龄（26.2±5.6）岁；孕周32〜39周，平均孕周（36.3±3.5）周；初产妇38例，经产妇5例。对照组年龄20〜45岁，平均年龄（25.8±6.4）岁•，孕周32〜39周，平均孕周（35.7±3.4）周；初产妇39例，经产妇4例。两组患者一般资料比较差异无统计学意义（P〉0.05），具有可比性。1.2方法对照组患者采取常规护理，由患者自主于产前门诊进行产前检查和咨询，入院后向患者介绍医院、病房环境，根据患者病情指导左侧卧位，并给予解痉、镇静、降压、吸氧等常规治疗和护理。干预组患者采取早期护理干预，具体实施方法如下：①做好产前检查、孕期宣教：由患者初次产前门诊随访开始建立妊娠期保健手册，对孕妇一般情况、心理状况进行评估，根据评估结果实施针对性护理干预。加强健康教育，提高孕妇孕期、分娩及产褥期相关...