60例重度妊娠期高血压疾病患者的临床观察要点总结与护理对策

Clinical Observation and Nursing Measure of 60 Cases of Patients with Severe Pregnancy-Induced Hypertension

目的:探析重度妊娠期高血压疾病的临床观察要点及护理对策。方法:将120例妊娠期高血压疾病孕妇分为两组各60例,观察组予以针对性护理,对照组予以常规护理,对比两组母婴结局、控制率及满意度。结果:观察组的产妇剖宫产率与早产率,新生儿宫内窘迫率与窒息率均低于对照组;其中剖宫产率观察组为40.0%(24/60),对照组为76.7%(46/60),差异有统计学意义(P<0.05);观察组血压控制率60.0%(36/60)显著高于对照组36.7%(22/60),护理满意度观察组与对照组分别为98.3%(59/60)与83.3%(50/60),观察组均显著高于对照组(P<0.05)。结论:对重度妊娠期高血压疾病患者实施临床密切观察与针对性护理管理可有效帮助改善母婴格局,同时提升血压控制率以及护理满意度,临床应用价值重大。

Objective： To explore and analyze the clinical observation keypoints and nursing measure of patients with severe pregnancy-induced hypertension.Method： 120 patients with pregnancy-induced hypertension were divided into two groups, with 60 cases in each group. The observation group was given targeted nursing, while the control group was given usual nursing. Maternal and neonatal outcomes, control rate and satisfaction of both groups were compared. Result： The cesarean section rate, preterm birth rate, neonatal fetal distress and asphyxia rate of the observation group were lower than the control group. The cesarean section rate of the observation group, which was 40.0% （ 24/60 ）, was significantly lower than the control group of 76.7% （ 46/60 ） . The difference was statistically significant （ P〈O.05 ） ; Blood pressure control rate of the observation group was 60.0% （ 36/60 ）, which was significantly higher than the control group of 36.7% （ 22/60 ） ; nursing satisfaction rate of the observation group was 98.3% （ 59/60 ）, which was significantly higher than the control group of 83.3% （ 50/60 ） . The differences were statistically significant （ P〈0.05 ） .Conclusion： Close clinical observation and targeted nursing management helps to improve maternal and neonatal outcomes, hypertension control rates, and nursing satisfaction.