农村妊娠期高血压疾病的管理及预防研究

目的:降低农村妊娠期高血压疾病的发生率,尤其是重度子痫前期及子痫的发生率。方法:充分发挥妇幼保健网络,利用现代化的通讯技术,对孕妇采取开放与参与式管理,对管理的孕妇引起妊娠期高血压疾病的高危因素进行筛查,将诸多因素分为可预防因素、可转变因素、可控制因素、突发因素;有针对性进行预防与干预。结果:研究组妊娠高血压疾病的发生率和重度子痫前期及子痫的发生率分别为6.79%、1.49%,对照组的发生率分别为9.21%、3.80%,有统计学意义(P<0.01)。另外,对两组妊娠期高血压疾病病人在分娩期对母婴健康影响对比,研究组剖宫产、产后出血发生率为55.06%、5.61%,对照组为66.19%、8.89%(P<0.05),而低出生体重发生率研究组为8.98%,对照组为13.52%,有统计学意义(P<0.01)。结论:通过科学有效的管理方法及控制手段,可降低妊娠期高血压疾病的发生率,特别是重度患者的发生率,确保母婴安全。

Study on the administration and prevention of pregnancy induced hypertension in the country

Objective:To reduce the incidence of pregnancy induced hypertension, especially the severe pre-eclampsia/ eclampsia in the country.Methods:The pregnant woman were adopted opening and participant administration by exerting the effect of maternal and child health net and utilizing the modern communication technique to screen out the high risk factors of pregnancy induced hypertension within the administered pregnant women. Multi-factors which were divided into preventable factor, changeable factor, controllable factor and paroxysmal factor were utilized for prevention and intervention.Results:The incidence of pregnancy induced hypertension, pre-eclampsia/ eclampsia was 6.97%, 1.49% respectively in study group, and 9.21%, 3.80% in control group which has the significant statistical difference between two groups (P<0.01). Compared the effect of maternal and child health resulted by the two groups in parturition, the incidence of operation and flooding was 55.06%, 5.61% in study group, and 66.19%, 8.89% in control group (P<0.05), the incidence of low birth weight in the study group was 8.98%, 13.52% in the control group (P<0.01).Conclusion:Through the scientific and effective administer and control means, the incidence of pregnancy induced hypertension can be reduced, especially for the incidence of the severe patients, which ensure maternal and child safety.