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目的:了解横县孕期保健门诊孕妇人群妊高征发病率,探讨降低妊高征发病率和孕产妇死亡率的有效干预措施,为卫生行政部门制定高危妊娠管理方案提供参考依据。方法:用MP妊高征监测系统对孕产期保健门诊2462例孕妇进行妊高征监测筛查(排除高血压、心肺、肝、肾等合并症),对阳性者随机分干预组、对照组进行研究分析,干预组给予生活指导+药物干预,对照组只给予生活指导。结果:监测2462例孕妇中阳性检出率28.35%,监测指标阳性的临床孕妇妊高征发病率为11.68%,监测结果阴性的孕妇妊高征发生率为1.44%,两组对比有显著性差异(P<0.005);监测阳性组经干预后妊高征发病率为5.03%,对照组为13.02%,两组发病率对比有显著性差异(P<0.005)。结论:使用MP妊高征监测系统能早期筛查妊高征,经采用科学的综合干预措施,可有效降低妊高征发生率。
Objective: To understand the prevalence of pregnancy-induced hypertension (PIH) among pregnant women in Heng County during pregnancy and to explore effective interventions to reduce the incidence of pregnancy-induced hypertension (PIH) and maternal mortality and provide reference for the development of high-risk pregnancy management programs by health administrative departments. Methods: A total of 2462 pregnant women during pregnancy and childbirth were screened by PIH (excluding hypertension, cardiopulmonary, liver, kidney and other complications) with MP pregnancy monitoring system. The positive patients were randomly divided into intervention group, control group Conduct research and analysis, the intervention group to give life guidance + drug intervention, the control group only give life guidance. Results: The positive rate of pregnancy in 2462 pregnant women was 28.35%. The incidence rate of pregnancy-induced hypertension was 11.68% in pregnant women with monitoring indicators. The incidence rate of pregnancy-induced hypertension was 1.44% in pregnant women with negative results. There was significant difference between the two groups (P <0.005). The positive rate of pregnancy-induced hypertension was 5.03% in the positive control group and 13.02% in the control group. There was significant difference between the two groups (P <0.005). CONCLUSION: The PIH monitoring system can be used to screen for PIH early. Comprehensive scientific interventions can effectively reduce the incidence of PIH.