妊娠高血压疾病的产科结局分析(1)
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[摘要] 目的：总结不同产科处理对245例妊娠高血压疾病患儿的影响。方法：对245例妊娠高血压疾病患者自然分娩及剖宫产妊娠结局进行回顾性分析。结果：245例妊娠期高血压疾病的剖宫产率、早产、双胎、产后出血、新生儿窒息的发生率明显高于对照组，差异有高度统计学意义(P<0.01)，围生儿病死率两组比较，差异无统计学意义(P>0.05)。结论：妊娠期高血压疾病对母儿危害极大，应适时终止妊娠，妊娠35周前、后分娩具有不同的妊娠结局，终止妊娠的方式应首选剖宫产。
[关键词] 妊娠高血压综合征；并发症；妊娠结局
[中图分类号] R714.246[文献标识码]A [文章编号]1673-7210(2010)11(c)-019-02
Analysis on the results of obstetric of pregnancy-induced hypertensive disorder
GAO Yanming, WU Liling, LI Jingping, CHEN Mei, CHEN Li
(Department of Gynaecology and Obstetrics, Xili People′s Hospital of Shenzhen City, Shenzhen 518055, China)
[Abstract] Objective: To summarize the impact of obstetric treatment of different diseases on 245 children of pregnancy-induced hypertension. Methods: 245 cases of hypertensive disorders of pregnancy vaginal delivery and cesarean section pregnancy outcomes were analyzed retrospectively. Results: 245 cases of cesarean section rate of gestational hypertension, preterm labor, twin pregnancy, postpartum hemorrhage, neonatal asphyxia were significantly higher, there were significant differences compared with those of the control group (P<0.01), there was no significant difference in the perinatal mortality of two groups (P>0.05). Conclusion: Hypertensive disorders in pregnancy for mother and children has great harm, should be timely termination of pregnancy, 35 weeks of pregnancy before and after delivery has a different outcome of pregnancy, cesarean section is preferred to termination of pregnancy.
[Key words] Pregnancy-induced hypertension syndrome; Complication; The results of obstetric
妊娠高血压综合征(简称妊高征)是产科常见并发症。妊高征是孕产妇、胎儿、新生儿死亡的主要原因之一，居孕产妇死亡的第2位，严重威胁母婴健康[1]。为探讨不同的产科处理对妊高征患者母儿预后的影响，现将2004年5月～2010年7月深圳市南山医院及西丽人民医院收住妊高征患者245例的临床资料进行回顾性分析，现报道如下：
1 资料与方法
1.1 一般资料
245例妊娠期高血压疾病患者中，轻度子痫前期54例，占22%(54/245)，重度子痫前期139例，占57%(139/245)，子痫3例，占1.2 %(3/245)。同期分娩总数4 613例，妊高征发生率为5.31%(245/4613)。产妇年龄20～41岁；孕周30+3～41+6周。分为自然分娩组(71例)及剖宫产组(174例)、妊高征组(245例)及同期分娩组(4 613例)。
1.2 方法
对妊高征患者母儿并发症进行统计学分析，孕产妇并发症主要是心力衰竭、肾衰竭、肝功能不良、胎盘早剥、产后出血及弥散性血管内凝血(DIC)等；围生儿并发症主要为胎儿宫内发育迟缓(IUGR)、胎儿宫内窘迫、死胎、新生儿窒息、缺血缺氧性脑病(HIE)及新生儿死亡。总结分析剖宫产和自然分娩对妊娠结局的影响。
1.3 统计学方法 ......
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