摘要
目的探究高龄孕产妇妊娠期高血压的相关危险因素以及干预措施.方法选择在高州市妇幼保健院待产的高龄孕产妇作为研究对象,其中61例为妊娠期高血压患者,记为试验组,另选61例无妊娠期高血压的孕产妇作为对照组,均选自2020年6月-2021年6月期间收治的高龄产妇.对两组高龄孕产妇的一般临床资料进行对照分析,采用Logistic回归法对高龄孕产妇妊娠期高血压的相关危险因素进行分析探究,并提出相应的干预措施.结果孕前BMI≥28kg/m^(2)、高血压疾病家族遗传、妊娠期糖尿病、胰岛素抵抗、妊娠期高血脂、妊娠期情绪不良、生活方式不良、营养不良、钙摄入不足是高龄孕产妇妊娠期高血压相关危险因素的单因素.孕前BMI≥28kg/m^(2)、高血压疾病家族遗传、胰岛素抵抗、妊娠期情绪不良、生活方式不良是高龄孕产妇妊娠期高血压相关危险的多因素.对高龄孕产妇妊娠期高血压的干预需要从健康教育、饮食干预、运动指导、心理护理、生活改善五个方面入手,提高患者的疾病认知度,养成良好生活习惯,使其按时产检.结论高龄孕产妇妊娠期高血压的相关危险因素比较多,且各单因素之间互相影响,需要对各种危险因素进行明确,掌握彼此之间的相互作用,采取有效的干预措施进行预防和治疗,控制其血压增长并稳定病情,改善症状,预防妊娠期高血压并发症,获得理想的母婴结局.
Objective To explore the risk factors and intervention measures related to gestational hypertension in elderly pregnant women.Methods The elderly pregnant women in our hospital were selected as the research object,among which 61 cases of pregnant women with gestational hypertension were recorded as the experimental group,and 61 cases of pregnant women without gestational hypertension were selected as the control group,all of which were selected from June 2020 to June 2021.The general clinical data of the two groups of elderly pregnant women were compared and analyzed.Logistic regression method was used to analyze and explore the risk factors of elderly pregnant women with hypertension during pregnancy,and corresponding intervention measures were proposed.Resu Its BMI≥28kg/m^(2) before pregnancy,family inheritance of hypertension,gestational diabetes,insulin resistance,hyperlipidemia during pregnancy,mood disorders during pregnancy,poor lifestyle,poor nutrition level and insufficient calcium intake were single factors related to gestational hypertension in elderly pregnant women.BMI≥28kg/m^(2) before pregnancy,family inheritance of hypertension,insulin resistance,poor mood during pregnancy,and poor lifestyle were multiple factors associated with pregnancy hypertension.In order to improve patients'understanding of the disease,develop good living habits and have regular delivery check-up,the intervention of pregnant women should be carried out from five aspectsihealth education,diet intervention,exercise guidance,psychological nursing and life improvement.Conclusion Age related risk factors of maternal gestational hypertension,and influence each other between each single factor,it is necessary to clear all kinds of risk factors,master of continuous and influence each other,and take effective intervention measures for prevention and treatment,control of blood pressure growth,stable condition,improve symptoms,prevention of hypertension during pregnancy complications,achieve ideal maternal and infant outcomes.
作者
陈裕坤
Chen Yukun(Gaozhou Maternal and child Health Hospital of Guangdong Province,525200)
出处
《首都食品与医药》
2022年第5期34-36,共3页
Capital Food Medicine
关键词
高龄产妇
妊娠期高血压
危险因素
干预措施
advanced puerpera
hypertension during pregnancy
risk factors
interventions
