摘要
1985年1月～1992年6月产科收治原发性高血压合并妊娠34例(35次分娩),占同期分娩数的0.71％。结果表明,孕期未发生其它并发症者母、婴预后良好。妊高征为最常见的并发症,发生率48.6％。体重指数>25,缺乏正规围产保健和基础血压≥21.3/13.3kPa是发生该征的危险因素。并发妊高征者早产、胎盘早剥、产后出血、小于胎龄儿及围产儿死亡的发生率均增加;发生于≤30孕周时胎儿预后不良。从优生角度出发,对此类孕妇及时给予中止妊娠或许是上策。提出加强围产期管理,防止妊高征发生或推迟其发生时间是改善母、婴预后的关键,并阐述了具体措施。
There were 35 deliveries in 34 cases of primary hypertension associated with pregnancy in Obstetric Department from Jan. , 1985 to June, 1992. The incidence was 0.71% among the cases of deliveries in the same period. A retrospective analysis was conducted on these cases. The results indicated that an uneventful full term delivery would be expected in cases without any other complications. However, 48.6% cases were complicated with pregnancy induced hypertension (PIH)——the most common complication. Body mass index>25, lack of proper perinatal care and basal blood pressure≥21.3/13.3 kPa were hazardous factors predisposing PIH. In PIH, incidences of premature delivery, abruptio placentae, postpartum hemorrhage, infants born with birth weight less than that comparative with gestational age and perinatal mortality, increased, The earlier the complication occurs (≤30th week of pregnancy), the worse the prognosis of fetus will be. From eugenic point of view, termination of pregnancy at proper time would probably be the best choice for these cases. It also suggested that prevention of PIH was the most important thing for improving maternal and fetal prognosis. Strengthening perinatal care would prevent the occurrence of PIH or delay its onset significantly. Several practical procedures have been proposed.
出处
《中日友好医院学报》
1993年第4期199-202,共4页
Journal of China-Japan Friendship Hospital
关键词
高血压
妊娠
妊娠高血压
综合征
primary hypertension associated with pregnancy
pregnancy induced hyperten-
