摘要
目的探讨不同程度妊娠期高血压综合征(妊高征)疾病对妊娠结局的影响。方法回顾性分析深圳市某医院2002年1月～2006年12月期间住院分娩的170例妊娠期高血压疾病的临床资料,选取同期住院分娩的正常妊娠孕妇340例作为对照,分析两组孕妇分娩方式、并发症的发生及其对围生儿的影响。结果170例妊高症产妇中妊娠期高血压和子痫前期(包括轻度和重度)分别占70.6%、29.4%。子痫前期的新生儿窒息、胎儿窘迫、产后出血、围生儿死亡、早产儿、剖宫产及低出生体重(体重<2500g)的发生率明显高于妊娠期高血压患者,不同指标在各组间的差别均有统计学意义(P<0.05)。妊高征组的新生儿窒息、胎儿窘迫、胎盘早剥、产后出血、围生儿死亡、早产儿、剖宫产及低出生体重(体重<2500g)的发生率明显高于对照组,不同指标在各组间的差异均有统计学意义(P<0.05)。结论妊高征对母婴危害严重,应通过科学有效管理和预防的方法来降低妊高症的发生,尤其是子痫的发生率。
Objective To explore the influence of the pregnancy-induced hypertension （PIH） upon the outcome of pregnancy. Methods A retrospective study was conducted of 170 cases with PIH who delivered in hospital in Shenzhen from Jan 2002 to Dec 2006, and at the same time,340 pregnant women were selected at the same hospital as control. The mode of delivery,the occurrence of complications and its impact on perinatal were compared. Results The gestafional hypertension and pre-eclampsia（ including mild and severe ） accounted for 70.6% and 29.4% in 170 cases. Neonatal asphyxia,fetal distress,postpartum hemorrhage,perinatal mortality,prematurity,cesarean section and low birth weight（weight〈2500g）in the pre-eclampsia group were significandy higher than those in patients with gestational hypertension（P〈0.05 ）, and neonatal asphyxia, fetal distress,placental abruption, postpartum hemorrhage,perinatal mortality,prematurity, cesarean section and low birth weight（weight〈2500g） in the PIH group were significantly higher than those in the patients with non-PIH（P〈0.05）. Conclusion PIH cause serious harm to the mother and child, it is necessary to reduce the PIH incidence by scientific and effective management and prevention, particularly the incidence of eclampsia.
出处
《中国现代医生》
2010年第5期39-40,共2页
China Modern Doctor
关键词
妊娠高血压综合征
子痫
妊娠结局
Pregnancy-induced hypertension
Eclampsia
Pregnancy outcome
