妊娠高血压疾病系统干预效果观察.pdf

中国优生优育 2008年 9 月第 14 卷第 3 期 　Ch inese Jou rnal of H ealthy B irth Ch ild Care Vol. 14 No. 3 Sep tember 2008 ·125 · ·论 　　著 · 妊娠高血压疾病系统干预效果观察 丘小霞 　李 　宁 摘 　要 　目的　探讨妊娠高血压疾病的有效干预措施 。方法 　用 M P妊高症监测系统对 1 249例孕妇进行系统监测 ,对检 测阳性和检测阴性但某项参数异常的高危人群实施系统干预治疗 。结果 　经系统干预后妊娠高血压疾病发病率为 2. 2% , ( ) 未经系统干预的发病率 12. 54% ,两者间差异有统计学意义 P 0. 0 1 。按不同检测结果给予不同的干预措施显示 ,随外周阻 力的增大 ,不同的干预措施发病率不同。结论 　对妊娠高血压疾病预测异常的高危人群进行系统干预治疗 ,可大幅度降低 妊娠高血压疾病的发生率 。随外周阻力的增大 ,静脉用药比口服用药干预效果好 ,可有效降低妊娠高血压疾病的发生率 。 关键词 　妊娠高血压疾病 　系统干预 　效果 Effects Sy stem ic In terferes w ith Gesta tiona l hyperten sion Q IU X iaoxia　L IN ing A BSTRACT　O bjective　To find ou t a availab le treatm en t for ge stational hyp erten sion. M ethods　The M P mon itoring system wa s app lied in 1 247 p regnan t wom en. To give the system ic p retreatm en for the h igh risk group , in wh ich detection wa s po sitive or its detec tion wa s negative bu t had abnorm al p aram eter. Re sults　The incident of ge stational hyp erten sion in interven tion group is 2. 2% and non ( ) interven tion group is 12. 54 %. There is sign ificant difference between two group s P 0. 0 1 . To give different in tervention according to the d ifferent mon itoring re su lt, w ith the increa sing of p erip heral re sistancl, the effects of in tervention s are changed. Conclusion　The system ic p retreatm en for the h igh risk group in ge stational hyp erten sion can reduce the incidence of hyp erten sive disorders comp licating p regnancy. W ith the increace of p erip heral re sistance, the in tervention effect of vein adm in istration is better than the effect of oral. The treatm en t by vein can sign ifican tly reduce the incidence of hyp erten sive disor