本站原创[摘 要 ] 目的 探讨持续性健康教育对异常脐血流孕妇的影响. 方法 将67例脐血流S/D值异常孕妇随机分为观察组（n 等于 33）和实验组（n 等于 34）.观察组仅给予一般孕期健康知识宣教,实验组自孕24周首次监测脐血流异常开始至孕妇住院分娩期间实施持续性健康教育,使其掌握异常脐血流治疗的相关知识,积极配合治疗,遵医服药,遵医吸氧,自测胎动,定期监测脐血流,遵医采取最佳睡眠卧位,提高其遵医行为,促进异常脐血流的改善或降低至正常,促进胎儿足月产和孕妇自然分娩. 结果 实验组孕妇遵医行为、分娩时S/D值降至正常、足月产例数均高于观察组,剖宫产率低于观察组（P < 0.05）. 结论 持续性健康教育有利于提高孕妇的遵医行为,降低S/D值,延长孕周,提高足月产,降低剖宫产.
[关 键 词 ] 持续性健康教育；异常脐血流；S/D值；遵医行为；孕妇
[中图分类号] R473.71 [文献标识码] C [文章编号] 1673-7210（2012）07（c）-0124-03
Influence of continued healthy education on pregnant women with abnormal umbilical cord blood flow
ZHI Min
Maternal and Child Care Service Centre of Hechi City, Guangxi Zhuang Autonomous Region, Hechi 547000, China
[Abstract] Objective To explore the influence of continued health education on pregnant women with abnormal umbilical cord blood flow. Methods 67 cases of pregnant women with umbilical cord blood flow S/D value abnormality were randomly divided into the observation group (n 等于 33) and the experimental group (n 等于 34). The observation group was given general health knowledge education during pregnancy, and the experimental group was given continued healthy education from the first monitoring of umbilical cord blood flow abnormality at 24 week of pregnancy to delivery inpatient, and made pregnant women master related knowledge of abnormal umbilical cord blood flow treatment, actively cooperate with treatment, pliance of medication, pliance of oxygen, check fetal movement by oneself, monitor umbilical cord blood flow regularly, adopt the best sleep supine, improve its medical pliance behior, promote the improvement of abnormal umbilical cord blood flow or reduce it to normal, and promote the full-term fetus and pregnant women natural birth. Results The pregnant women with medical pliance behior, S/D value down to normal during delivery, term delivery in the experimental group were higher than those of the observation group, then the cesarean section rate of the the experimental group was lower than that of the observation group, the differences were statistically significant (P < 0.05). Conclusion Continued healthy education is helpful to improve the pliance behior of pregnant women, reduce S/D value, extend gestational weeks, improve term delivery, and reduce cesarean section.
[Key words] Continued healthy education, Abnormal umbilical cord blood flow, S/D value, Medical pliance behior, Pregnant women
胎儿脐血流是反映胎儿胎盘循环状态的指标之一,脐血流和孕周时间有着密切的关系,一般随着孕周的增加,脐血流S/D比值呈下降趋势,S/D比值反映了胎盘中氧分的输送情况,关系到胎儿的营养供应[1].观察 S/D比值的动态变化,可判断胎盘的发育情况,S/D比值异常时可引起早产、剖宫产、胎儿预后差,甚至可导致胎死宫中,严重影响胎儿的生命质量安全.我院通过对异常脐血流孕妇实施持续性健康教育,取得了良好的效果,现总结报道如下：