摘要
目的 分析妊娠期高血压疾病孕妇生化指标及母儿并发症.方法 选取2017年4月-2019年12月于我院分娩的孕妇226例为研究对象,依据妊娠期高血压分类标准,将其分为妊娠期高血压组78例、轻度子痫前期组75例、重度子痫前期组73例,均进行生化指标检测,观察三组生化指标检测结果 ,并对母儿并发症发生情况进行回顾性分析.结果 TP、ALB等肝功能相关指标水平三组组间比较差异有统计学意义(P<0.05),其余指标比较差异无统计学意义(P>0.05);三组肾功能相关指标水平组间比较差异无统计学意义(P>0.05),血脂相关指标中,HDL-C组间比较差异有统计学意义(P<0.05);与妊娠期高血压组、轻度子痫前期组产妇比较,重度子痫前期组产妇产期胎盘早剥、子痫、产后出血、早产、胎儿窘迫等母儿并发症发生率更高,差异有统计学意义(P<0.05).结论 TP、ALB等肝功能相关指标水平高低与妊娠期高血压产妇子痫严重程度密切相关,重度子痫前期孕产妇的母儿并发症发生率较高,提示医师应定期对孕产妇进行生化检验,积极采取措施补救,降低母儿并发症发生,提升母婴生命质量.
Objective To analyze the biochemical indicators and maternal and child complications of pregnant women with hypertension during pregnancy. Methods A total of 226 pregnant women who delivered in our hospital from April 2017 to December 2019 were selected as research subjects.According to the classification criteria of hypertension during pregnancy,all them were divided into 78 cases of hypertension during pregnancy group,75 cases of mild preeclampsia group,and 73 csaes of severe preeclampsia group.All them were tested for biochemical indicators.The results of biochemical indicators of the three groups were observed,and the occurrence of maternal and child complications was analyzed retrospectively. Results The levels of TP,ALB and other liver function related indicators were significantly different among the three groups(P < 0.05),and the other indicators were not significantly different(P > 0.05).There was no significant difference in the level of renal function related indicators among the three groups(P > 0.05).Among the blood lipid related indicators,there was significant difference in HDL-C among the three groups,with statistical significance(P < 0.05).Compared with pregnancy induced hypertension group and mild preeclampsia group,the incidence of maternal and fetal complications such as placental abruption,eclampsia,postpartum hemorrhage,premature delivery and fetal distress in severe preeclampsia group were higher than those in pregnancy induced hypertension group and mild preeclampsia group,the difference was statistically significant(P < 0.05). Conclusion The levels of liver function related indicators such as TP and ALB are closely related to the severity of eclampsia in pregnant women with hypertension.The incidence of maternal and child complications is higher in pregnant women with severe preeclampsia,suggesting that physicians should routinely carry out biochemical tests on pregnant women,and actively take measures to remedy,reduce the incidence of maternal and child complications,and improve the quality of life of mothers and infants.
作者
苏秀红
SU Xiuhong(Department of Gynecology,Yinan Matermal and Child Health Care Hospital,Yinan 276300,China)
出处
《中国医药科学》
2020年第14期105-108,共4页
China Medicine And Pharmacy
关键词
妊娠期
高血压
生化指标
并发症
Pregnancy
Hypertension
Biochemical indicators
Complications
