摘要
目的观察妊娠合并心脏病孕妇不同心脏病种类及不同心功能级别对分娩结局的影响。方法对我院2009年1月至2012年9月收治的64例妊娠合并心脏病产妇的临床资料进行回顾性分析。结果心脏病种类前3位的分别为心律失常（39．06％）、瓣膜性心脏病（26．56％）及先天性心脏病（18．75％）；以心功能心Ⅰ级和Ⅱ级者为主，占76．56％；心功能Ⅰ级和Ⅱ级者围产儿死亡率、新生儿窒息的发生率、低出生体重儿的发生率及早产率均显著低于Ⅲ级和Ⅳ级者（P〈0．05）。结论妊娠合并心脏病是孕产妇和围生儿死亡的重要原因之一，易导致不良的妊娠结局，有效预防和早期内科干预，及早发现心力衰竭，以选择恰当的分娩方式，避免不良的妊娠结局。
Objective To observe pregnancy complicated by different types of heart disease and the impact of cardiac function at different levels on the childbirth outcomes. Methods The clinical data on 64 pregnant women with heart disease who had been admitted to our hospital between January 2009 and September 2012 were retrospectively analyzed. Results The top three types of heart diseasess were arrhythmia （39.06%）, valvular heart disease （26.56%）, and congenital heart disease （18.75%）; cardiac function was mainly grades I and Ⅱ , accounting for 76.56%. The rates of perinatal mortality, neonatal asphyxia, low birth weight, and permature birth were markely lower in women with grades Ⅰ and Ⅱ than in those with grades Ⅲ/and IV （P〈0.05）. Conclusions Pregnancy complicated by heart disease is one of the major causes of maternal and perinatal death and easily leads to adverse pregnancy outcomes. Effective prevention and early medical intervention, early detection of heart failure, and selection of appropriate mode of delivery can avoid adverse pregnancy outcomes.
出处
《国际医药卫生导报》
2013年第15期2333-2336,共4页
International Medicine and Health Guidance News
关键词
妊娠
心脏病
心功能级别
Pregnancy
Heart disease
Cardiac function level
