摘要
目的：探讨不同种类心脏病在妊娠合并心脏病中的发病率,分析不同心功能状态对孕产妇和围产儿的影响。方法：对2004年1月-2008年12月郑州大学第一附属医院73例妊娠合并心脏病患者的临床资料进行回顾性分析。结果：妊娠合并心脏病以先天性心脏病发病率最高（33例占45.21%）,其次为风湿性心脏病（22例占30.14%）,不明原因心律失常（14例占19.18%）,高血压性心脏病（3例占4.11%）,心肌炎（1例占1.37%）。心功能Ⅰ-Ⅱ级与Ⅲ-Ⅳ级比较,妊娠孕周、新生儿平均体重差异有统计学意义（P〈0.05）。73例妊娠合并心脏病,剖宫产率90.41%,围产儿死亡率为0。结论：先天性心脏病在妊娠合并心脏病发病率中居首位,而在农村边远地区,风湿性心脏病仍占相当大的比例。不同心功能状态影响孕周及新生儿体重,适时剖宫产术可改善妊娠结局。
Objective：To investigate the types of pregnancy complicated by heart disease,and the influence of cardiac function of pregnant women on outcome of their pregnancies.Methods：Clinical data of 73 cases of pregnant women with heart diseases from Jan.,2004 to Dec.,2008 were analyzed retrospectively.Results：The highest incidence of cardiac disease was due to congenital heart disease（33 cases,45.21%）,rheumatic heart disease was on the second（22 cases,30.14%）,and the next was respectively abnormal cardiac rhythm（14 cases,19.18%）,heart disease mused by hypertension（3 cases,4.11%）,myocarditis（1 case,1.37%）.Cardiac disease with Grade Ⅰ-Ⅱ of heart function was quite different from that of Grade Ⅲ-Ⅳ in pregnant length,average weight of new born（P〈0.05）.the incidence of cesarean section incidence was 90.41%,perinatal mortality was 0.Conclusion：Congenital heart disease is of the highest incidence in pregnancy complicated by heart disease,while rheumatic heart disease is still quite common in rural areas.Pregnancy complicated by heart disease effects the length of pregnancy and the weight of new borns.Cesearn section in proper time improves the outcome of the pregnancy.
出处
《中国妇幼保健》
CAS
北大核心
2010年第25期3563-3564,共2页
Maternal and Child Health Care of China
关键词
妊娠
心脏病
影响
Pregnancy
Heart disease
Influence
