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article------>{"id":617,"cid":42,"subCid":null,"title":"轻度妊高征的健康宣教","shortTitle":"","tagId":"","attr":"","articleView":"","source":"","author":"","description":"","img":"","content":"<p class=\"MsoNormal\" align=\"center\"><span style=\"font-size: 22px;\"><strong><span style=\"font-family: 黑体;\">轻度妊高征的健康宣教</span></strong></span></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">随着二胎时代的到来，高龄孕妈也屡见不鲜。随之而来的妊娠并发症如妊高征等也越来越多。下面就了解一下什么是轻度妊高征及其日常注意事项吧。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">什么是轻度妊高征？</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">即孕妈在孕前或妊娠</span><span style=\"font-family: 黑体;\">20周前，血压不高，而至妊娠20周后血压开始升高≥140/90mmHg，但小于150/100mmHg,24小时蛋白尿＜0.5克，体重异常增加（隐形水肿）等。一般无需住院治疗，但要注意休息。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">需要配合哪些检查？</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">实验室检查：血常规、血生化、凝血功能、尿常规、</span><span style=\"font-family: 黑体;\">24小时尿蛋白等。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">影像学检查：心电图、超声心动图、胎心监护、胎盘功能和胎儿成熟度检查等。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">（具体检查项目以实际医嘱为准）</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">日常注意事项</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">(1）定期产检。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">每</span><span style=\"font-family: 黑体;\">1-2周做一次产检，注意观察水肿，有无头痛等不适症状。一旦有异常应提早就诊。自行监测血压，可每天早晚定时定手臂各量一次（测血压前半小时不要剧烈活动，以卧床休息最佳）,并做记录。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">(2）左侧卧位卧床休息。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">保证充足睡眠，睡姿选择左侧卧位，每天休息不少于</span><span style=\"font-family: 黑体;\">10小时。左侧卧位可减轻子宫对腹主动脉（人体大动脉）、下腔动脉的压迫，使回心血量增加，改善子宫胎盘的血供，有利于血压恢复。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">(3）适量运动。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">建议做适量的运动，可预防孕期疾病。但如果病情严重则需要在医生指导下进行。除非是医生要求孕妈绝对卧床保胎，其他的情况都可以做一些轻度的体力活动，如散步和简单的家务劳动，能使孕妈精神放松并有助于控制体重。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">(4）保持心情愉快。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">平时精神放松，可以适当听喜爱的轻柔音乐。心情愉快对于预防妊娠期高血压疾病也有很大作用。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">(5）合理饮食。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">控制食物的摄入总量，补充蛋白质、含钙以及锌、维生素</span> <span style=\"font-family: 黑体;\">C 和 E 的食物如奶类、蛋类、鱼虾类、新鲜蔬菜水果等，减少动物脂肪的摄入如肥肉、动物内脏等，控制钠盐的摄入，每天摄入的盐分应限制在3-5克以内（建议用控盐勺）。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">限制含钠量高的食物如：腌制品、香肠、罐头食品、冰激凌、乳酪、爆米花、薯条、坚果、海产品、发酵面食、苏打饼干、味精、番茄酱、酱油、碳酸饮料等。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">如何预防？</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><!-- [if !supportLists]--><span style=\"mso-list: Ignore;\">(1）</span><!--[endif]--><strong><span style=\"font-family: 黑体;\">在妊娠早期进行定期检查，主要是测血压、查尿蛋白和测体重。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">(2）注意休息和营养。心情要舒畅，精神要放松，争取每天卧床10小时以上，并以左侧卧位为佳，以增进血液循环，改善肾脏供血条件。饮食不要过咸，保证蛋白质和维生素的摄入。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">(3）及时纠正异常情况。如发现贫血，要及时补充铁质；若发现下肢浮肿，要增加卧床时间，把脚抬高休息；血压偏高时要按医嘱正确服药，必要时终止妊娠。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">(4）注意既往史。曾患有肾炎、高血压等疾病以及上次怀孕有过妊娠高血压综合征的孕妇要在医生指导下进行重点监护。</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">护士寄语</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">了解的知识越多，就越能妥善照顾自己和家人！</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong> </strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 黑体;\">中重度妊高征的健康宣教</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong> </strong></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">导语：随着二胎时代的到来，高龄孕妈也屡见不鲜。随之而来的妊娠并发症如中重度妊高征等也越来越多。那什么是中重度妊高征？需要注意哪些？让我们来了解一下吧。</span></p>\n<p class=\"MsoNormal\"><strong> </strong></p>\n<p class=\"MsoNormal\"><strong><span style=\"font-family: 仿宋_GB2312;\">什么是中重度妊高征？</span></strong></p>\n<p class=\"MsoNormal\"><strong> </strong></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">多数发生在妊娠</span><span style=\"font-family: 仿宋_GB2312;\">20周以后与产后两周，出现</span><span style=\"font-family: 仿宋_GB2312;\">高血压、水肿、蛋白尿</span><span style=\"font-family: 仿宋_GB2312;\">，严重者会产生</span><span style=\"font-family: 仿宋_GB2312;\">头痛、视力模糊、上腹痛</span><span style=\"font-family: 仿宋_GB2312;\">等症状，若没有适当治疗，可能会引起</span><span style=\"font-family: 仿宋_GB2312;\">全身性痉挛、昏迷</span><span style=\"font-family: 仿宋_GB2312;\">，甚至母婴死亡。需立即住院治疗。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">主要表现</span><span style=\"font-family: 仿宋_GB2312;\">：中度妊高征：血压</span><span style=\"font-family: 仿宋_GB2312;\">≥150/100mmHg，但小于160/110mmHg,24小时蛋白尿≥0.5克，但＜5克，伴有水肿等；重度妊高征：血压≥160/110mmHg,24小时蛋白尿＞5克，有不同程度的水肿。</span></p>\n<p class=\"MsoNormal\"> </p>\n<p class=\"MsoNormal\"><strong><span style=\"font-family: 仿宋_GB2312;\">需要配合哪些检查？</span></strong></p>\n<p class=\"MsoNormal\"><strong> </strong></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">实验室检查</span><span style=\"font-family: 仿宋_GB2312;\">：血常规、血生化、尿常规、</span><span style=\"font-family: 仿宋_GB2312;\">24小时尿蛋白等。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">影像学检查</span><span style=\"font-family: 仿宋_GB2312;\">：心电图、超声心动图、脑</span> <span style=\"font-family: 仿宋_GB2312;\">CT 或磁共振、胎心监护、胎盘功能和胎儿成熟度检查等。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">（具体检查项目以实际医嘱为准）</span></p>\n<p class=\"MsoNormal\"> </p>\n<p class=\"MsoNormal\"><strong><span style=\"font-family: 仿宋_GB2312;\">住院期间注意事项</span></strong></p>\n<p class=\"MsoNormal\"><strong> </strong></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">(1）</span><span style=\"font-family: 仿宋_GB2312;\">左侧卧位卧床休息</span><span style=\"font-family: 仿宋_GB2312;\">。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">保持病房安静，减少看护探视人员，保证充足睡眠，睡姿选择左侧卧位，每天</span><span style=\"font-family: 仿宋_GB2312;\">休息不少于</span><span style=\"font-family: 仿宋_GB2312;\">10小时</span><span style=\"font-family: 仿宋_GB2312;\">。左侧卧位可减轻子宫对腹主动脉（人体大动脉）、下腔动脉的压迫，使回心血量增加，改善子宫胎盘的血供，有利于血压恢复。在右侧的臀部垫一些抱枕</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">(2）</span><span style=\"font-family: 仿宋_GB2312;\">监测血压及胎心</span><span style=\"font-family: 仿宋_GB2312;\">。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">我们会每</span><span style=\"font-family: 仿宋_GB2312;\">4小时测1次血压及胎心。若出现头晕、头痛、恶心呕吐等症状请立即通知医护人员。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">(3）</span><span style=\"font-family: 仿宋_GB2312;\">合理饮食</span><span style=\"font-family: 仿宋_GB2312;\">。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">控制食物的摄入总量，补充蛋白质、含钙以及锌、维生素</span> <span style=\"font-family: 仿宋_GB2312;\">C 和 E 的食物如奶类、蛋类、鱼虾类、新鲜蔬菜水果等，减少动物脂肪的摄入如肥肉、动物内脏等，控制钠盐的摄入，</span><span style=\"font-family: 仿宋_GB2312;\">每天摄入的盐分应限制在</span><span style=\"font-family: 仿宋_GB2312;\">3-5克以内，重度者每日小于3克</span><span style=\"font-family: 仿宋_GB2312;\">（建议用控盐勺）。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">限制含钠量高的食物如：腌制品、香肠、罐头食品、冰激凌、乳酪、爆米花、薯条、坚果、海产品、发酵面食、苏打饼干、味精、番茄酱、酱油、碳酸饮料等。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">(4）</span><span style=\"font-family: 仿宋_GB2312;\">遵医嘱用药</span><span style=\"font-family: 仿宋_GB2312;\">。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">使用硫酸镁时，因局部刺激性强，肌肉注射时比较疼痛。静脉用药时会严格控制输液速度。可能会出现毒性反应如膝反射减弱或消失，呼吸抑制等，故我们会给您心电监护，胎心监护等。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">(5）</span><span style=\"font-family: 仿宋_GB2312;\">协助病情观察</span><span style=\"font-family: 仿宋_GB2312;\">。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">请您</span><span style=\"font-family: 仿宋_GB2312;\">每日或隔日测体重，协助记</span><span style=\"font-family: 仿宋_GB2312;\">24小时出入量</span><span style=\"font-family: 仿宋_GB2312;\">（出量包括尿量、粪便、呕吐、汗液以及各种引流量；入量包括吃的各种食物如主食类，蔬菜类，水果类、点心类、水等）。治疗期间需要复查肝肾功能等，请您配合。重度妊高征者</span><span style=\"font-family: 仿宋_GB2312;\">若出现抽搐发作甚至昏迷等子痫症状时</span><span style=\"font-family: 仿宋_GB2312;\">，直接关系到母子安危。我们会给予全力抢救，家属请配合，</span><span style=\"font-family: 仿宋_GB2312;\">保持病房绝对安静</span><span style=\"font-family: 仿宋_GB2312;\">，避免声、光等刺激。</span></p>\n<p class=\"MsoNormal\"><!-- [if !supportLists]--><span style=\"mso-list: Ignore;\">(6）</span><!--[endif]--><span style=\"font-family: 仿宋_GB2312;\">保持心情愉快</span><span style=\"font-family: 仿宋_GB2312;\">。孕妈们要注意调节自己的心情。家属要给予鼓励孕妈表达不适，帮助疏导。可以听听音乐来放松心情。</span></p>\n<p class=\"MsoNormal\"> </p>\n<p class=\"MsoNormal\"><strong><span style=\"font-family: 仿宋_GB2312;\">如何预防？</span></strong></p>\n<p class=\"MsoNormal\"><strong> </strong></p>\n<p class=\"MsoNormal\"><!-- [if !supportLists]--><span style=\"mso-list: Ignore;\">(1）</span><!--[endif]--><span style=\"font-family: 仿宋_GB2312;\">在妊娠早期进行</span><span style=\"font-family: 仿宋_GB2312;\">定期检查</span><span style=\"font-family: 仿宋_GB2312;\">，主要是测血压、查尿蛋白和测体重。</span></p>\n<p class=\"MsoNormal\"><!-- [if !supportLists]--><span style=\"mso-list: Ignore;\">(2）</span><!--[endif]--><span style=\"font-family: 仿宋_GB2312;\">注意休息和营养</span><span style=\"font-family: 仿宋_GB2312;\">。心情要舒畅，精神要放松，争取每天卧床</span><span style=\"font-family: 仿宋_GB2312;\">10小时以上，并以左侧卧位为佳，以增进血液循环，改善肾脏供血条件。饮食不要过咸，</span><span style=\"font-family: 仿宋_GB2312;\">保证蛋白质和维生素的摄入</span><span style=\"font-family: 仿宋_GB2312;\">。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">(3）</span><span style=\"font-family: 仿宋_GB2312;\">及时纠正异常情况</span><span style=\"font-family: 仿宋_GB2312;\">。如发现贫血，要及时补充铁质；若发现下肢浮肿，要增加卧床时间，把脚抬高休息；血压偏高时要按医嘱正确服药，必要时终止妊娠。</span></p>\n<p class=\"MsoNormal\"><span style=\"font-family: 仿宋_GB2312;\">(4）</span><span style=\"font-family: 仿宋_GB2312;\">注意既往史</span><span style=\"font-family: 仿宋_GB2312;\">。曾患有肾炎、高血压等疾病以及上次怀孕有过妊娠高血压综合征的孕妇要在医生指导下进行重点监护。</span></p>\n<p class=\"MsoNormal\" align=\"center\"> </p>\n<p class=\"MsoNormal\" align=\"center\"> </p>\n<p class=\"MsoNormal\" align=\"center\"><strong> </strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong> </strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 仿宋_GB2312;\">护士寄语</span></strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong> </strong></p>\n<p class=\"MsoNormal\" align=\"center\"><strong><span style=\"font-family: 仿宋_GB2312;\">了解的知识越多，就越能妥善照顾自己和家人！</span></strong></p>","status":0,"pv":446,"link":"","createdAt":"2025-07-19T07:04:12.000Z","updatedAt":"2026-01-08T17:26:58.000Z","bigfile":[],"simpleintroduce":"","sortId":0,"field":{},"tags":[]}
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