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目的分析对育龄妇女进行孕期医学指导的临床效果及其对优生的作用。方法 180例进行孕期检查的育龄孕妇,按照完全随机表法将其分为对照组与观察组,各90例。对照组给予常规知识宣教,观察组予以个性化的医学指导。比较两组孕期保健知识掌握情况以及妊娠结局。结果观察组中发生妊高症以及妊娠期糖尿病的几率均显著低于对照组,差异均有统计学意义(P<0.05);观察组焦虑、抑郁状态患者少于对照组,差异有统计学意义(P<0.05);但两组早产率比较差异无统计学意义(P>0.05)。观察组各方面的保健知识评分以及总分均显著高于对照组,差异均有统计学意义(P<0.05)。结论针对育龄妇女进行个性化的孕期医学指导,有利于提高其孕期保健知识水平,使得焦虑、抑郁及各种产科代谢性疾病(妊娠期糖尿病、妊娠期高血压)的发生率降低,提高产科质量,最终达到优生的目的。
Objective To analyze the clinical effect of prenatal medical guidance on women of childbearing age and its effect on eugenics. Methods One hundred and eighty pregnant women of childbearing age who were examined during pregnancy were divided into control group and observation group according to the completely random table method, 90 cases each. Control group was given conventional knowledge mission, the observation group to be personalized medical guidance. Compare the two groups during pregnancy health knowledge and pregnancy outcomes. Results The incidence of pregnancy-induced hypertension and gestational diabetes mellitus were significantly lower in the observation group than in the control group (P <0.05). There were less anxiety and depression patients in the observation group than in the control group, with significant difference (P <0.05). However, there was no significant difference in preterm birth rate between the two groups (P> 0.05). The score of health knowledge and the total score of the observation group in all aspects were significantly higher than those in the control group, with significant differences (P <0.05). Conclusion Personalized gestational medical guidance for women of childbearing age is conducive to raising their awareness of health care during pregnancy, making anxiety, depression and obstetric metabolic diseases (gestational diabetes mellitus, gestational hypertension) lower incidence and improve obstetric quality , Eventually reaching the purpose of eugenics.