张昕昕

【摘要】目的 观察综合护理干预对妊高征患者妊娠结局及预后的影响。方法 选取商丘市第一人民医院产一科2014年9月～2016年9月收治的妊高征产妇50例，随机分为观察组及对照组，各25例。对照组实施常规护理，观察组在对照组基础上加用综合护理干预。比较两组妊娠结局。结果 干预后，观察组剖宫产率、产后出血率、胎盘早剥率及新生儿窒息率均低于对照组，差异有统计学意义（P<0.05）。结论 妊高征产妇实施综合护理干预，可有效降低产妇剖宫产率、产后出血率，新生儿产后窒息情况少，母婴结局及预后好，护理效果显著。

【关键词】妊高征；综合护理干预；妊娠结局；预后

【中图分类号】R473.71 【文献标识码】A 【文章编号】ISSN.2095-6681.2016.34.0.02

Effect of Comprehensive Nursing Intervention on Pregnancy Outcome and Prognosis in Patients with Pregnancy Induced Hypertension

Zhang Xin-xin

（Shangqiu First People's Hospital produced a section of Henan Shangqiu 476100，China）

【Abstract】Objective To observe the effect of comprehensive nursing intervention on pregnancy outcome and prognosis in patients with pregnancy induced hypertension.Methods Fifty patients with pregnancy-induced hypertension were randomly divided into observation group and control group（n=25）.The patients were randomly divided into observation group and control group （n=25）.The control group was treated with routine nursing. The observation group was treated with comprehensive nursing intervention on the basis of control group.Comparison of two groups of pregnancy outcomes.Results After intervention，the rate of cesarean section，postpartum hemorrhage rate，placental abruption rate and neonatal asphyxia were lower in the observation group than in the control group（P<0.05）.Conclusion The comprehensive nursing intervention of pregnant women with pregnancy induced hypertension can effectively reduce maternal cesarean section rate， postpartum hemorrhage rate，neonatal postpartum asphyxia，maternal outcome and prognosis，and clinical nursing effect is remarkable.

【Key words】PIH；Comprehensive nursing intervention；Pregnancy outcome；Prognosis

妊高征屬于妊娠期常见疾病，我国产妇妊高征发病率约为5.6%～9.4%，主要表现为尿蛋白、水肿、高血压等，若得不到及时干预及控制，可导致胎儿窘迫、胎盘早剥等不良情况发生[1]，对母婴安全有着极大影响与威胁，是产妇及围生儿死亡的重要原因之一。因此，针对妊高征产妇实施合理有效的护理干预极为关键。本研究就综合护理干预对妊高征产妇妊娠结局及预后的影响作如下研究。

1 资料与方法

1.1 一般资料

选取商丘市第一人民医院产一科2014年9月～2016年9月收治的妊高征产妇50例，随机分为观察组及对照组，各25例。观察组年龄20～35岁，平均（26.14±3.51）岁；平均孕周（32.11±2.17）周。对照组年龄21～36岁，平均（26.24±3.61）岁；平均孕周（32.21±2.21）周。两组一般资料比较，差异有统计学意义（P>0.05）。

1.2 方法

对照组实施常规护理（常规孕检、用药指导等），观察组在对照组基础上加用综合护理干预：①心理护理。护理人员主动同产妇交流，了解其内心真实想法，以讲座、影片等形式对产妇进行分娩知识及孕期保健健康教育，促进产妇加深对自身疾病的认识，消除其恐惧感；……