拉贝洛尔联合心理干预使用后对妊娠期高血压孕妇、胎儿的影响分析

Analysis of the influence of hypertension on pregnant women and fetus after use of labetalol combined with psychological intervention

目的探讨拉贝洛尔、心理干预联合应用于妊娠期高血压患者对孕妇、胎儿的具体影响。方法选取2015年12月~2016年6月温州医科大学附属第二医院育英儿童医院收治的妊娠期高血压患者98例,随机分为研究组与对照组,各49例。对照组在常规治疗基础上加用拉贝洛尔,研究组在常规治疗基础上加用拉贝洛尔、心理干预。记录2组妊娠期高血压患者治疗前后舒张压及收缩压变化情况、围生儿不良事件发生率。结果治疗前2组SBP、DBP对比差异无统计学意义,治疗后研究组SBP、DBP下降幅度优于对照组（P〈0.05）;研究组各项围生儿不良事件发生率均较对照组显著减少（P〈0.05）。结论在常规临床治疗基础上,对妊娠期高血压患者加用拉贝洛尔、心理干预可显著提高其血压控制效果,有利于保障母婴安全。

Objective To investigate the effects of labetalol,combined with psychological intervention in patients with hypertension of pregnancy specific effects on pregnant women and fetus. Methods 98 patients with gestational hypertension in our hospital from December 2015 to June 2016 were selected,and randomly divided into study group and control group,49 cases in each groups. The control group were treated with labetalol,study group on the basis of conventional therapy plus labetalol,psychological intervention. The changes of diastolic blood pressure and systolic blood pressure and the incidence of adverse events of perinatal children were recorded before and after treatment in two groups of patients with gestational hypertension. Results Before treatment,SBP and DBP were compared had no statistical significance in the two groups. After treatment,the decrease of SBP and DBP in the study group was better than that in the control group（ P〈 0. 05）. The incidence of adverse events of children in the study group was significantly lower than that in the control group（ P 〈0. 05）. Conclusion On the basis of routine clinical treatment,with labetalol,psychological intervention on patients with gestational hypertension and can significantly improve the blood pressure control effect,to ensure the safety of mother and infant.