有氧运动联合松弛训练在妊娠期高血压患者中的应用价值

Application value of aerobic exercise combined with relaxation training in patients with gestational hypertension

目的探究有氧运动与松弛训练联合应用在妊娠期高血压患者中的效果与价值。方法选取2020年5月至2021年4月于惠州市第一妇幼保健院就诊的90例妊娠期高血压患者为研究对象,采用电脑随机编号,单数设为对照组,双数设为试验组,每组各45例,对照组给予常规护理干预,试验组在此基础上给予有氧运动加松弛训练护理干预,比较护理前后两组患者的血压水平变化、母婴妊娠结局、焦虑抑郁评分等指标。结果干预前两组患者的血压比较,差异无统计学意义(P>0.05),干预后两组患者的血压均有降低,且试验组舒张压为(87.46±5.78)mmHg,收缩压为(128.25±10.35)mmHg,低于对照组的(92.52±7.25)、(134.84±12.58)mmHg,差异有统计学意义(P<0.05);试验组中不良母婴妊娠结局的总发生率为62.22%,低于对照组的84.44%,差异有统计学意义(P<0.05);干预前两组患者的焦虑评分(SAS)、抑郁评分(SDS)比较,差异无统计学意义(P>0.05),干预后试验组患者评分情况[SAS(43.02±4.71)分,SDS(40.96±3.46)分]显著低于对照组[SAS(46.19±4.33)分,SDS(44.56±3.25)分],差异有统计学意义(P<0.05);干预前两组GSES评分比较,差异无统计学意义(P>0.05),干预后试验组GSES评分为(20.57±4.21)分,明显高于对照组的(18.45±4.36)分,差异有统计学意义(P<0.05)。结论妊娠期高血压患者运用有氧运动结合松弛训练可有效纠正高血压症状,改善妊娠结局,为母婴安全提供重要保障,值得临床推广。

Objective To explore the effect and value of aerobic exercise combined with relaxation training in patients with gestational hypertension.Methods A total of 90 patients with gestational hypertension who visited Huizhou First Maternal and Child Health Care Hospital from May 2020 to April 2021.The numbers were randomly numbered by computer,singular number was set as the control group,and even number was set as the experimental group,with 45 patients in each group.The control group was given routine nursing intervention.The experimental group was given the intervention treatment of aerobic exercise combined with relaxation training on the basis of routine nursing.The changes in blood pressure level,maternal and infant pregnancy outcomes,anxiety and depression scores of the two groups before and after nursing were compared.Results There was no significant difference in blood pressure before intervention between the two groups(P>0.05).After intervention,the blood pressure of the two groups decreased.The blood pressure level in the experimental group(diastolic blood pressure of[87.46±5.78],systolic blood pressure of[128.25±10.35])were lower than that in the control group(diastolic blood pressure of[92.52±7.25],systolic blood pressure of[134.84±12.58]),with statistically significant differences(P<0.05).The total incidence of adverse maternal and infant pregnancy outcomes in the experimental group(62.22%)was lower than that in the control group(84.44%),with statistically significant difference(P<0.05).There were no statistically significant differences in self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score before intervention between the two groups(P>0.05).After intervention,the scores of the experimental group(SAS[43.02±4.71],SDS[40.96±3.46])were significantly lower than those of the control group(SAS[46.19±4.33],SDS[44.56±3.25]),with statistically significant differences(P<0.05).There was no statistically significant difference in general self-efficacy scale(GSE)score before intervention between the two groups(P>0.05).After intervention,the GSE score of the experimental group(20.57±4.21)was significantly higher than that of the control group(18.45±4.36),with statistically significant difference(P<0.05).Conclusion The application of aerobic exercise combined with relaxation training in patients with gestational hypertension can effectively relieve the symptoms of hypertension,improve pregnancy outcomes and provide an important guarantee for the safety of mothers and infants,and is worthy of clinical promotion.