郴州市、县级医院118例妊娠高血压住院患者的临床分析

目的分析郴州市、县医院近年来妊娠高血压综合征住院患者临床病情特点及用药治疗情况。方法随机抽取2009年以来郴州市、县医院住院的118例妊娠高血压综合征患者的作为研究对象，分析其临床特点及对其进行药物治疗分析。结果报告的118例住院患者血压控制率为84．75％，市级医院血压控制率高于县级医院（P〈0．01）；妊高症合并1种临床相关疾病者占72．88％；城区居民妊高症患者对妊高征疾病知晓率高于农村（P〈0．01），城乡居民妊高症患者对妊高症的危害及病因知识均明显不足；城区居民妊高症患者非高血压药物治疗措施高于农村（0．01〈P〈0．05）；市级医院单用降压药物高于县级医院（0．01〈P〈0．05），而县级医院联合降压用药高于市级（P〈0．01）。结论妊娠高血压住院患者临床情况严重，患者对其危害及病因知识均明显不足；降压用药治疗中，市、县级医院存在差异。建议在确保母婴安全的前提下，提高妊娠高血压疾病非药物治疗措施，并重视开展妊高症的基层社区防治。

Clinical Analysis of 118 Hospitalized Patients With Gestational Hypertension in Chenzhou Municipal and County Hospitals

ObjectiveTo analyze the clinical characteristics and medical treatment conditions of hospitalized patients with gestational hypertension syndrome in recent years.MethodRandomly select 118 patients with gestational hypertension syndrome as research object in Chenzhou city and County Hospital since 2009,analyze the clinical characteristics and drug treatment.ResultAmong 118 cases of hospitalized patients with blood pressure the control rate was 84.75%,blood pressure control rate in municipal hospitals was above county level hospitals (P<0.01);Gestational hypertension syndrome complicated with 1 related clinical disease accounted for 72.88%;Urban residents awareness of gestational hypertension was higher than rural residents(P<0.01),but urban and rural residents of gestational hypertension have poor knowledge about the harm and pathogenesis;Urban residents of gestational hypertension had better non-hypertensive drug treatment than rural (0.01<P<0.05);Antihypertensive monotherapy in municipal hospitals was above county level hospitals (0.01<P<0.05),while combination with blood pressure medication in county hospitals was above city level (P<0.01).ConclusionThe condition of gestational hypertension patients in hospital is severe,the patient had obviously inadequate knowledge of harm and pathogenesis.Antihypertensive drug therapy in city and county-level hospitals are different.It is recommended to improve the non-drug treatment and attach importance to carrying out grass-roots community prevention on the premise of ensuring pregnancy safe.