|
|
Effects of Aerobic Exercise Combined with Relaxation Training on Blood Pressure, Emotion and Maternal and Infant Outcomes in Patients with Pregnancy-induced Hypertension |
WANG Qing-ping |
Department of Obstetrics and Gynecology, Second Medical District, People's Hospital of Ganzi Tibetan Autonomous Prefecture, Ganzi, Sichuan 626000 |
|
|
Abstract 【Objective】To investigate the effect of aerobic exercise in combination with relaxation training on blood pressure, negative emotion and maternal-infant outcome of patients with pregnancy-induced hypertension. 【Methods】 A total of 126 cases of hypertensive disorder of pregnancy were selected from July 2014 to June 2016. They were divided into observation group and control group according to random number table method, 63 cases in each group. The control group was given routine nursing, while the observation group was given aerobic exercise combined with relaxation training on the basis of the control group. The blood pressure control, negative emotions and maternal and infant outcomes were compared between the two groups before delivery.【Results】Two groups of patients actually completed the study in 62 cases. The systolic blood pressure, diastolic blood pressure and pulse pressure difference in the observation group were significantly lower than those in the control group (P<0.05), and the scores of anxiety (SAS) and depression (SDS) were significantly lower than those in the control group (P<0.05). Follow-up to delivery showed that preterm delivery, postpartum hemorrhage and placental abruption were 8.06%, 6.45% and 3.23% in the observation group, which were significantly lower than those in the control group (20.97%, 19.35% and 12.90%); neonatal body mass and gestational weeks of termination of pregnancy were (3770.56±418.67) g and (38.7±0.78) weeks, respectively, which were significantly higher than those in the control group (3420.73 ±349.86) g and (38.41±0.60) weeks, with statistical significance (P<0.05). 【Conclusion】 Aerobic exercise combined with relaxation training can help control the blood pressure level of patients with pregnancy-induced hypertension, alleviate anxiety and depression, and improve maternal and infant outcomes, which is worthy of clinical application.
|
Received: 25 June 2018
|
|
|
|
|
[1] 孙滢滢,刘志新,苏亚楠.临床干预治疗对妊娠期高血压疾病患者的血压和妊娠结局的影响[J].中国妇幼保健,2015,30(11):1675-1677. [2] 李浩,刘彩红.饮食和运动干预对妊娠糖尿病患者母婴结局及血浆脂联素、瘦素的影响[J].医学综述,2016,22(9):1848-1851. [3] Scholten RR, Thijssen DJ, Lotgering FK,et al.Cardiovascular effects of aerobic exercise training in formerly preeclamptic women and healthy parous control subjects[J].Am J Obstet Gynecol,2014, 211(5): 516. [4] 饶海英,邹虹,漆洪波.美国妇产科医师学会“妊娠期高血压疾病2013版”(1-5章)要点解读[J].中国实用妇科与产科杂志,2014,30(10):739-743. [5] 汪向东,王希林,马弘.心理卫生评定量表手册[J].中国心理卫生杂志,1999,12(增刊):253-256. [6] 杨洋,邹磊,任婷,等.妊娠糖尿病营养干预的效果及对新生儿预后的影响[J].中华全科医学,2016,14(9):1516-1518. [7] 连李斌,杜冬青.PAPP-A、cys-C、D-D在妊娠期高血压孕妇中的表达及其意义[J].医学临床研究,2016,33(9):1715-1717. [8] 罗琳雪,李雪静,陈丽芬,等.产科教育门诊个性化的健康教育对妊娠糖尿病妊娠结局影响的研究[J].中国妇幼保健,2016,31(17):3449-3451. [9] 陆丽荣,戴霞,陈青云,等.联合抗阻—有氧运动对糖尿病前期人群代谢指标的影响[J].广西医科大学学报,2016,33(1):57-59. [10] 王贻英,姜瑞华.联合饮食与运动的行为干预对妊娠期糖尿病患者的影响[J].中国妇幼保健,2015,30(30):5170-5171. [11] 栾秀群,张萍萍,林佳龙.适度有氧运动干预对妊娠高血压疾病结局的影响[J].中国全科医学,2010,13(24):2730-2731. |
|
|
|