在怀孕期间治疗高血压的日间护理的随机对照试验
D J Tuffnell1, R J Lilford, P C Buchan
1Department of Obstetrics and Gynaecology, St James's University Hospital, Leeds, UK.
Lancet (London, England)
|January 25, 1992
概括
孕妇非蛋白尿高血压的日托单位显著减少住院和医疗干预. 这种方法减少了医院住院和分娩诱导,尽管它可能会增加门诊访问.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 临床高血压是指临床高血压.
背景情况:
- 怀孕期间非蛋白尿高血压需要谨慎管理,以防止不良后果.
- 确立的临床实践通常涉及对这种疾病的大量住院产前护理.
研究的目的:
- 评估专用日托单元对怀孕期间非蛋白尿高血压的管理的影响.
- 为了比较日间护理和标准护理组之间的住院患者入院率,住院时间和医疗干预.
主要方法:
- 一项随机对照试验,涉及54名非蛋白尿高血压的妇女,在怀孕26周或之后出现.
- 参与者被分配到日托单元 (n=30) 或标准临床管理 (对照组,n=24) 中.
- 测量的主要结果包括住院时间,入院概率,分娩诱导率和蛋白尿的发生.
主要成果:
- 日间单位组的住院时间显著缩短 (平均差异为4.0天),住院的可能性降低 (可能性降低8.8倍).
- 劳动诱导 (4.9倍不太可能) 和蛋白尿的发展 (11.4倍不太可能) 在日单位组中减少.
- 虽然在日间单位组的门诊访问增加了,但整体需要住院护理和干预措施的需求大幅减少.
结论:
- 孕期非蛋白尿高血压的日托单位管理有效地减少产前住院患者的入院和干预.
- 这种护理模式为传统的住院管理提供了可行的替代方案,改善了资源利用,但不影响结果.
- 在怀孕期间患有非蛋白质性高血压的妇女中,住院护理似乎没有改善结果或预防蛋白尿症.
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