|本期目录/Table of Contents|

[1]姚军娥,李丙环.多学科团队管理对慢性高血压合并妊娠的妊娠结局的影响[J].慢性病学杂志,2020,21(04):529-531.
　YAOJun-e.Effects of multidisciplinary team management on pregnancy outcomes of patients with chronic hypertension[J].,2020,21(04):529-531.
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多学科团队管理对慢性高血压合并妊娠的妊娠结局的影响

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年04期
页码:
529-531
栏目:
论　著
出版日期:
2020-04-28

文章信息/Info

Title:
Effects of multidisciplinary team management on pregnancy outcomes of patients with chronic hypertension
作者:
姚军娥; 李丙环
东昌府人民医院，山东 聊城 252000
Author(s):
YAOJun-e
DongchangfuPeople’sHospital,Liaocheng252000,Shandong, China Correspondingauthor:YAOJun-e,E-mail:w0aqqm@163.com
关键词:
慢性高血压; 妊娠; 妊娠结局
Keywords:
Chronic hypertension;  Pregnancy;  Pregnancy outcome
分类号:
R714.24
DOI:
-
摘要:
目的 探讨多学科团队管理（MDT）对慢性高血压合并妊娠的妊娠结局的影响。方法 选取2018年 6月—2019年6月东昌府人民医院收治的86例慢性高血压合并妊娠产妇患者，随机分为观察组和对照组，各43例。 观察组采用MDT主要包括健康宣教、心理疏导、个案管理、治疗管理等；对照组采用常规管理。对比两组产妇 患者的妊娠结局情况。结果 观察组孕产妇HELIP综合征1例（2.33%）、胎盘早剥1例（2.33%）、肺水肿2例 （4.65%）、产后出血2例（4.65%）显著低于对照组[3例（6.89%）、4例（9.30%）、4例（9.30%）、5例 （11.63%）]，差异有统计学意义（P<0.05）；观察组孕产妇妊娠结局胎儿窘迫1例（2.33%）、死胎0例、早产2例 （4.65%）、新生儿死亡1例（2.33%）显著低于对照组[3例（6.89%）、1例（2.33%）、6例（13.95%）、2例 （4.65%）]，差异有统计学意义（P<0.05）。结论 MDT在慢性高血压合并妊娠产妇患者治疗管理中的应用， 可降低产妇及产儿不良结局率。
Abstract:
Objective To explore the effect of multidisciplinary team management（MDT）on pregnan-cy outcome of patients with chronic hypertension. Methods Totally86 pregnant women with chronic hypertension in Dongchangfu People’s Hospital from June 2018 to June 2019 were selected and ran-domly divided into the observation group and the control group, 43 cases in each group. MDT, main-ly including health education, psychological counseling, case management, and treatment management, was used in the observation group, and routine management was used in the control group. Pregnancy outcomes were compared between the two groups. Results The maternal HELIP syndrome（1 case, 2.33%）, placental abruption（1 case, 2.33%）, pulmonary edema（2 cases, 4.65%）and postpartum hemorrhage（2 cases, 4.65%）in the observation group were significantly lower than those [3 cases （6.89%）, 4 cases（9.30%）, 4 cases（9.30%）, 5 cases（11.63%）] in the control group（P<0.05）. There were1 case of fetal distress（2.33%）, 0 case of stillbirth, 2 cases of premature delivery （4.65%）and 1 case of neonatal death（2.33%）in the observation group, which were significantly low-er than those [3 cases（6.89%）, 1 cases（2.33%）, 6 cases（13.95%）, 2 cases（4.65%）] in the control group（P<0.05）. Conclusion MDT mode can reduce the adverse outcome rate of maternal and infant in patients with chronic hypertension.

参考文献/References:

[1] 张琳,高红,刘晓巍,等. “妊娠合并高血压专病门诊”对慢性高血压 妇女妊娠结局的影响[J].现代妇产科进展,2019,28(12):927-930. [2] 姬建秀,陈燕,白惠,等.阿司匹林对妊娠合并慢性高血压患者血 小板聚集率及妊娠结局的影响[J].中国医药,2018,13(8):1223-1226. [3] 孔祥琴.妊娠合并高血压规范诊治对妊娠结局的影响分析[J].临 床医药文献电子杂志,2017,4(95):18656. [4] 杨冬艳.慢性高血压妇女妊娠后并发子痫前期对妊娠结局的影响 [J].慢性病学杂志,2017,18(2):161-163. [5] 冯永玲,苑桂姝.妊娠期高血压患者合并肝功能异常对妊娠结局 的影响[J].中国当代医药,2017,24(4):116-118. [6] 王秀玲,魏晓蕾,郝瑞,董小梅.护理干预模式下全方位护理对妊 娠期糖尿病合并高血压产妇妊娠结局的影响[J].系统医学,2019, 4(20):181-183. [7] 詹爱丁,蒋国洪,孔成才.妊娠期肝内胆汁淤积症合并妊娠期高血 压疾病及妊娠期糖尿病对妊娠结局的影响[J].中国妇幼保健, 2019,34(18):4138-4141. [8] 潘登.妊娠合并高血压患者应用规范治疗对血压及妊娠结局的影 响[J].中国实用医药,2019,14(6):95-96.

备注/Memo

备注/Memo:
作者简介：姚军娥，本科，主管护师，研究方向：产科 通信作者：姚军娥，E-mail：w0aqqm@163.com
更新日期/Last Update: 2020-04-28