高龄孕妇妊娠期高血压疾病母婴结局的临床研究

Clinical study on maternal and infant outcome of pregnancy induced hypertension in elderly pregnant women

目的探讨联合社区综合干预对高龄孕妇妊娠期高血压疾病(PIH)母婴结局的效果。方法选择肇庆市端州区妇幼保健院2015年1月-2016年12月收治的≥35岁的孕妇80例设为对照组,给予常规干预;将2017年1月-2018年12月收治的≥35岁的孕妇80例选为观察组,给予联合社区综合干预。比较两组干预效果。结果观察组孕妇中有1例(1.25%)发展为重度子痫前期,对照组有7例(8.75%)发展为重度子痫前期,差异有统计学意义(P<0.05)。观察组剖宫产、早产、低体重儿发生率明显低于对照组,差异有统计学意义(P<0.05);观察组死胎、产后出血、胎盘早剥、新生儿窒息、围产儿死亡发生率稍低于对照组,但差异无统计学意义(P>0.05)。结论联合社区综合干预可有效改善高龄孕妇PIH母婴结局,提高产科护理质量,对推动医院的妇幼保健工作起到示范性的指导作用,具有一定的可行性和实用性。

Objective To explore the effect of combined community comprehensive intervention on maternal and infant outcomes of pregnancy induced hypertension(PIH)in elderly pregnant women.Methods 80 cases of pregnant women aged 35 or over admitted to Maternal and Child Health Hospital of Duanzhou District in Zhaoqing City from January 2015 to December 2016 were selected as the control group and given routine intervention.80 cases of pregnant women aged 35 or over from January 2017 to December 2018 were selected as the observation group and given combined community comprehensive intervention.The effects of the two groups were compared.Results One patient(1.25%)in the observation group developed severe preeclampsia,and 7 patients(8.75%)in the control group developed severe pre-eclampsia.The difference was statistically significant(P<0.05).The incidence of cesarean section,premature delivery and low birth weight in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of stillbirth,postpartum hemorrhage,placental abruption,neonatal asphyxia,and perinatal death in the observation group were slightly lower than those in the control group,there was no significant difference(P>0.05).Conclusion Combined community comprehensive intervention can effectively improve the maternal and infant outcomes of PIH in elderly pregnant women and improve the quality of obstetric care,which plays an exemplary guiding role in promoting maternal and child health care in hospitals,and has certain feasibility and practicability.