重度子痫前期患者产后血压变化相关因素初步探讨

Brief investigation of related factors for postpartum blood pressure changes in severe preeclampsia patients

目的探析重度子痫前期患者产后血压变化的相关因素。方法 70例重度子痫前期患者为研究对象,根据产后血压变化情况分成对照组(13例,未出现产后高血压)、观察组(57例,出现产后高血压),对两组患者的一般资料及各项指标进行统计比较,总结重度子痫前期产后血压变化的相关因素。结果对照组患者术后24 h出血量为(75.1±5.8)ml,观察组患者术后24 h出血量为(84.1±6.7)ml,比较差异具有统计学意义(P<0.05)。两组患者年龄、孕周比较差异具有统计学意义(P<0.05);产次、孕次比较差异无统计学意义(P>0.05)。两组24 h尿蛋白比较差异具有统计学意义(P<0.05);两组产前、产后总蛋白、白蛋白比较差异无统计学意义(P>0.05)。结论针对年龄>35岁、24 h尿蛋白水平高、产后24 h出血量多的重度子痫前期患者,应密切监测与控制其产后血压,预防不良情况的发生,确保患者产后恢复良好。

Objective To investigate related factors for postpartum blood pressure changes in severepreeclampsia patients.Methods A total of70patients with severe preeclampsia as study subjects weredivided by postpartum blood pressure condition into control group(13cases,without postpartum hypertension)and observation group(57cases,with postpartum hypertension).Statistical comparison was made on generaldata and indexes between the two group to summarize related factors for postpartum blood pressure changesin severe preeclampsia patients.Results The control group had24h postoperative bleeding volume as(75.1±5.8)ml,and the observation group had24h postoperative bleeding volume as(84.1±6.7)ml,and the difference had statistical significance(P<0.05).The difference of age and gestational weeks hadstatistical significance between the two groups(P<0.05).There was no statistically significant difference of parityand gravidity between the two groups(P>0.05).The difference of24h urine protein between the two groups hadstatistical significance(P<0.05).The difference of antenatal and postpartum total protein and albumin between thetwo groups had no statistical significance(P>0.05).Conclusion Severe preeclampsia patients aging>35years oldwith high24h urine protein and high24h postoperative bleeding volume requires closely monitoring andcontrol for their postoperative blood pressure to prevent adverse reactions and guarantee good postpartumrehabilitation.