摘要
目的 分析广东省近 5年妊娠高血压综合征 (简称妊高征 )致孕产妇死亡的相关危险因素。 方法 选取广东省 1997年至 2 0 0 1年 2 4个监测点中因妊高征死亡的孕产妇资料进行回顾性分析。 结果 5年 2 4个监测点活产数为 12 19899例 ,孕产妇死亡 32 3例 ,死因为妊高征的 4 3例 ,死亡率为 3.5 2 / 10万 ( 4 3/ 12 19899) ;妊高征死亡孕产妇的前 3位主要死因为脑血管意外、心功能衰竭、弥散性血管内凝血 ( DIC) ;孕期无定期产前检查、治疗不及时、在家分娩及硫酸镁用量不足是相关的危险因素。 结论 加强孕期保健 ,提高住院分娩率 ,加强产科建设 ,规范化使用硫酸镁 ,可提高妊高征的早期诊断及治疗 。
Objective To investigate risk factors associated with maternal death in pregnancy induced hypertension(PIH). Methods A retrospective study of 43 cases with maternal death due to PIH registered at monitoring units in Guangdong province from 1997 to 2001. Results There were 1 219 899 pregnant women with live birth during the period.323 of these pregnancies resulted in maternal death.Of 43 were associated with PIH.The maternal mortality rate was 3 52/100 000.The leading causes of maternal death in PIH were hypertensive encephalopathy,heart failure,disseminated intravascular coagulation(DIC).The perinatal mortality rate was 530 61 ‰(26/49).The related risk factors were irregular prenatal care,delayed management,home delivery and insufficient magnesium sulfate administration. Conclusion It is essential to enhance prenatal care,increase hospital delivery and standardize the use of magnesium sulfate for reducing the perinatal and maternal mortality.
出处
《中国生育健康杂志》
2003年第2期89-90,115,共3页
Chinese Journal of Reproductive Health
关键词
妊娠高血压综合征
孕产妇
死亡
相关因素
干预措施
Maternal death
Pregnancy complication,Cardiovascular
Hypertension
Risk factors
Intervening measures
