穴位按摩对妊娠期高血压孕妇血压控制与妊娠结局的影响研究

Effect of acupoint massage on blood pressure in hypertensive pregnant women and its outcomes

目的总结穴位按摩对妊娠期高血压孕妇血压控制与妊娠结局的影响。方法选取本院妊娠期高血压的孕妇共70例,采用随机数字表法分为2组,对照组35例给予常规护理措施,观察组35例给予穴位按摩疗法,比较2组孕妇的血压控制与妊娠结局。结果干预后,2组孕妇的收缩压、舒张压、血清肌酐、尿素氮与尿微量白蛋白均显著下降,差异均存在统计学差异(P<0.05);干预后,观察组收缩压、舒张压、血清肌酐、尿素氮与尿微量白蛋白均显著低于对照组(P<0.05)。所有孕妇均随访至分娩,2组均未发生孕妇及新生儿死亡的情况。观察组孕妇顺产的比例显著高于对照组(P<0.05);观察组孕妇发生胎儿宫内窘迫及妊娠高血压的比例显著低于对照组(P<0.05)。结论穴位按摩对妊娠期高血压孕妇血压控制具有积极的控制作用,能显著改善孕妇的妊娠结局。

Objective To summarize the effect of acupoint massage on blood pressure in hypertensive pregnant women and its outcomes. Methods A total of 70 pregnancy induced hypertension women were randomly divided into two groups, 35 cases in the control group were given routine nursing measures and 35 cases in the observation group were given acupoint massage therapy, blood pressure control and pregnancy outcomes were compared. Results After the intervention, systolic pressure, diastolic pressure, serum creatinine, urea nitrogen and urinary albumin of two groups were significantly decreased （P 〈 0.05 ）. Systolic blood pressure, diastolic blood pressure, serum creatinine, urea nitrogen and urinary albumin in the observation group were significantly lower than that in the control group （ P 〈 0.05 ）. All the pregnant women were followed up until delivery, and the two groups had no maternal and neonatal death cases. The observation group had higher natural delivery rate, and lower fetal distress and pregnancy induced hypertension rate were than the control group （P 〈0.05 ）. Conclusion The acupuncture point massage has positive function on blood pressure control for pregnancy induced hypertension, and it can significantly improve the pregnancy outcomes of pregnant women.