强化健康教育对妊娠期高血压患者结局的影响

Effect of enhancing health education on the outcome of pregnancy-induced hypertension

目的探讨强化健康教育对妊娠期高血压孕妇结局的影响。方法将2005年1月-2007年12月来勒流医院产科门诊定期产前检查，诊断符合妊娠期高血压的孕妇120例，分为强化组和对照组各60例。强化组建高危孕妇卡，强化健康知识的专项教育，在分娩后42d统计两组患者血压变化、体重增长及分娩方式、新生儿早产率、新生儿窒息情况等结局，并与对照组比较。结果两组孕妇产前检查次数比较差异有统计学意义，强化组的产检在8次以上者明显高于对照组（P〈0.05）；分娩后42d血压及体重增长明显低于对照组（P〈0.01）；但两组孕妇刮宫产率、新生儿早产率、新生儿窒息率及孕妇子痫发生率无明显差异（P〉0.05）。结论强化健康教育可有效提高妊娠期高血压患者的遵医行为，有效控制血压上升和体重增长，对孕妇转归和减低剖宫产率及新生儿早产和窒息率。降低医疗费用、保障母婴健康具有一定价值。

objective To explore the effect of enhancing health education on the outcome of pregnancy- induced hypertension in pregnant women. Method A total of 120 pregnant women diagnosed as pregnancy-induced hypertension came to our obstetrics outpatient for regular prenatal care from January 2005 to December 2007, divided into the enhanced group and the controlled group 60 cases respectively. The enhanced group set up the High-risk pregnant women card, with special education of health knowledge. Then the result of blood pressure change, weight growth, delivery mode, premature birth rate and the case of neonatal asphyxia at 42 d after delivery was calculated and compared with the controlled group. Result The times of prenatal care for pregnant women had significant difference between the two groups. More than 8 times of prenatal care in the enhanced group was significantly higher than the controlled group （P〈0.05）, blood pressure and weight growth at 42d after delivery was the opposite （P〈0.01）. But no difference was found in the rateof cesarean section, premature birth, neonatal asphyxia and the incidence of eclampsia （P〉0.05）. Conclusion Enhancing health education can improve the complying behavors and control of the blood pressure and weight effectively. It has the value of lapse rate to cesarean section, premature birth and neonatal asphyxia. It also has the value of reducing the medical costs and protecting the maternal and child health.