摘要
目的 调查上海市近 10年来妊娠高血压综合征 (妊高征 )的发病情况及对母婴的影响。方法 对上海市区 8所医院 1989～ 1998年 10年间的妊高征发病情况进行回顾性分析。结果 15 8790例住院分娩孕产妇中 ,妊高征患者 885 2例 ,发生率为 5 5 7% ;其中轻度妊高征 4942例、中度妊高征 2 6 0 2例、重度妊高征为 130 8例 ;子痫 114例 ,占 1 2 9%。产妇死亡 1例 ,死因为DIC ;胎盘早剥 46例 ,占 0 5 2 % ;心功能衰竭 30例 ,占 0 34 % ;肾功能衰竭 18例 ,占 0 2 0 % ;DIC 6例 ,占 0 0 7% ;溶血、肝酶升高和低血小板计数 (HELLP)综合征 3例 ,占 0 0 3%。其中剖宫产 5 92 8例 ,剖宫产率 6 6 97%。围产儿 9197例 (双胎 34 3例 ,三胎 1例 ) ,围产儿死亡 6 6例 ,死亡率 7 18‰ ,其中死胎 48例 ,死产 12例 ,新生儿死亡 6例。结论 加强孕期保健宣教、母婴监护 ,开展妊高征的预防、早期诊断和治疗 。
Objective To investigate the incidence of pregnancy induced hypertention (PIH) in Shanghai during 1989～1998 Methods The data were analyzed retrospectively from three municipal general hospitals and five special hospitals obstetrics and gynecology Results There were 158 790 deliveries in ten years The total numbers of PIH were 8 852 cases The incidence of PIH was 5 57% The rate of mild, moderate and severe PIH was 55 83%, 29 39%, and 14 78% respectively There were 114 cases (1 29%) complicated with eclampsia The rate of cesarean section was 66 97% in PIH patients The complications of PIH were as following: abruptio of Placenta 0 52%, heart failure 0 34%, renal failure 0 20%,DIC 0 07% hemolysis,elevated liver enzymes and low platelet count(HELLP) syndrome 0 03%, maternal death one case. There were 9 197 birth of 8 852 cases of PIH (twin 343 cases, triplets one cases) The perinatal death 66 occurred in cases (7 18‰) in which fetal death 48 cases, stillbirth 12 and neonatal death 6 Conclusion The incidence of PIH and the rate of perinatal infant death can be reduced by strengthen antenatal monitoring, prevention, early diagnosis and treatment of PIH
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2001年第3期137-139,共3页
Chinese Journal of Obstetrics and Gynecology
关键词
心血管
流行病学
发生率
妊娠高血压综合征
Pregnancy complications, cardiovascular
Hypertension
Epidemiology
Incidence
