论文部分内容阅读
目的研究围产期补钙及保健对预防妊娠高血压综合征(PIH)发生的作用。方法跟踪台州市立医院2012年6月-2014年6月门诊产检的围产期高危孕妇742例,其中未进行产前保健和补钙的孕妇326例作为对照组,补钙并进行围产期保健的416例设为观察组,观察两组妊娠高血压综合症发生情况及严重程度。结果观察组产前孕妇血钙浓度明显升高,与入组时比较差异有统计学意义(P<0.05)。而对照组血钙浓度无明显变化,产前明显低于观察组(P<0.05)。观察组PIH发生率为4.09%,明显低于对照组(P<0.05)。观察组仅1例发生先兆子痫,占PIH的5.88%,而对照组发生先兆子痫、子痫22例,占PIH的32.35%,严重程度明显重于观察组(χ2=4.83,P<0.05)。结论具备妊娠高危因素的孕妇加强围产期保健,并适当补钙,投入少,预防效果好,是降低妊娠高血压综合征发生率及严重程度的有效手段,可在社区及妇幼保健站推广。
Objective To study the effect of perinatal calcium supplementation and health care on the prevention of pregnancy-induced hypertension (PIH). Methods Totally 742 pregnant women with high risk were admitted to Taizhou Municipal Hospital from June 2012 to June 2014. Among them, 326 pregnant women without prenatal care and calcium supplementation were used as control group, calcium supplement and perinatal health care 416 cases were set as the observation group to observe the incidence and severity of pregnancy-induced hypertension syndrome in both groups. Results The level of serum calcium in prenatal maternal serum in observation group was significantly higher than that in the control group (P <0.05). The control group, serum calcium levels did not change significantly, prenatal was significantly lower than the observation group (P <0.05). The incidence of PIH in observation group was 4.09%, which was significantly lower than that in control group (P <0.05). In the observation group, only 1 patient had preeclampsia, accounting for 5.88% of the PIH, while 22 patients in the control group had preeclampsia and eclampsia accounting for 32.35% of the PIH, the severity was significantly higher than that in the observation group (χ2 = 4.83, P <0.05 ). Conclusions Pregnant women with high risk of pregnancy can enhance perinatal health care with adequate calcium supplementation, less investment and good prevention. It is an effective measure to reduce the incidence and severity of pregnancy-induced hypertension and can be promoted in community and MCH stations.