首页|预见性运动干预对妊娠期高血压疾病孕妇血压控制、血液流变学及母儿结局的影响

预见性运动干预对妊娠期高血压疾病孕妇血压控制、血液流变学及母儿结局的影响

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目的:观察预见性运动干预对妊娠期高血压疾病孕妇血压控制、血液流变学及母儿结局的影响.方法:选取60例妊娠期高血压孕妇为研究对象,病理均于2021年8月~2023年8月期间在弋阳县人民医院接受治疗,采用随机数字表法随机分为对照组与观察组,各30例,其中对照组进行常规护理干预,观察组在对照组基础上进行预见性运动干预,对比两组孕妇血压变化(干预前后收缩压与舒张压)、血液流变指标(干预前后血浆黏度与全血高切黏度)、孕妇结局(对比两组孕妇干预过程中出现产后出血、子痫、先兆子痫、胎盘早剥的发生情况同时对比生产方式包括顺产与剖宫产)与胎儿结局(对比两组胎儿出现胎儿窘迫、早产、发育迟缓、缺氧缺血性脑病的发生情况).结果:干预后观察组收缩压、舒张压、血浆黏度、全血高切粘度均明显低于对照组(P<0.05);观察组产后出血、子痫、先兆子痫、胎盘早剥总发生率明显低于对照组,顺产率明显高于对照组(P<0.05);观察组胎儿窘迫、早产、发育迟缓、缺氧缺血性脑病总发生率明显低于对照组(P<0.05).结论:对妊娠期高血压孕妇进行预见性运动干预,可改善血压及血液流变学情况,并且能降低孕妇、胎儿不良事件的发生,增加顺产率,使母儿结局有好的走向.
Objective:To observe the effectof predictive exercise intervention on blood pressure control,hemorheology,and maternal and fetal outcomes in pregnant women with hypertensive disorder complicating pregnancy.Methods:Using the random number table method,60 pregnant women with hypertensive disorder complicating pregnancy who were scheduled to received treatment in Yiyang County People's Hospital between August 2021 and August 2023 weredivided into a control group and an observation group,with 30 cases in each group.The control group received routine nursing intervention,and the observation group received predictive exercise intervention on this basis.Blood pressure,hemorheological indicators,maternal and fetal outcomes were compared between the two groups.Results:After intervention,systolic blood pressure,diastolic blood pressure,plasma viscosity and whole blood high shear viscosity of the observation group were significantly lower than those of the control group(P<0.05).The incidence rates of postpartum hemorrhage,eclampsia,preeclampsia and placental abruption,and the total incidence of adverse maternal outcomes in the observation group were significantly lower than those in the control group.The rate of vaginal delivery was significantly higher than that in the control group(P<0.05).The incidence rates of fetal distress,premature birth,developmental retardation and hypoxic-ischemic encephalopathy,and the total incidence of adverse fetal outcomes in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Predictive exercise interventioncan improve blood pressure and hemorheology in pregnant women with hypertensive disorder complicating pregnancy,reduceadverse maternal and fetal events,and increase the rate of vaginal delivery.

Predictive exercise interventionHypertensive disorder complicating pregnancyPregnant womanMaternal and fetal outcomes

刘志萍、郑冬娥、黄七英

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弋阳县人民医院 江西弋阳 334400

预见性运动干预 妊娠期高血压 孕妇 母儿结局

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(4)
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