摘要
目的探讨妊娠期高血压综合征、胎膜早破等围生因素对新生儿结局的影响。方法回顾性分析2010年1月—2010年12月在151家医院出生的60 615例新生儿临床资料,分别按母亲有无妊娠期高血压综合征、胎膜早破,对新生儿进行分组比较。结果妊娠期高血压综合征组新生儿胎龄、出生体质量明显低于无妊娠期高血压综合征组,而母亲生育年龄和孕期贫血、早产、低出生体质量、剖官产、羊水异常、新生儿先天性畸形、窒息、头颅血肿发生率、新生儿病死率等方面均明显高于无妊娠期高血压综合征组,差异均有统计学意义(P<0.05);胎膜早破组新生儿胎龄、出生体质量明显低于无胎膜早破组,早产、低出生体质量、羊水量异常、轻度窒息、母妊娠期高血压综合征、孕期贫血等发生率明显高于无胎膜早破组,差异均有统计学意义(P<0.05)。结论妊娠期高血压综合征、胎膜早破等围生因素均可对新生儿结局造成严重的不良影响。
Objective To explore the effects of hypertensive disorder complicating pregnancy （HDCP） and premature rupture of membranes （PROM） on neonatal outcomes Methods A total of 60 615 infants born in 151 hospitals in Huai＇an from Jan 2010 to Dec 2010 were divided into differenct groups based on the presence of the HDCP and PROM. The clinical data were recorded and compared. Results The gestational age and birth weight in HDCP group were signif- icantly lower than those in non-HDCP group （P〈0.05）. The maternal age and the incidence rates of pregnant anemia, pre- term, low birth weight, cesarean section, abnormal amniotic fluid, congenital anomalies, asphyxia, intracranial hematoma and case fatality rate were significantly higher in HDCP group than those in non-HDCP group （P〈0.05）. The gestational age and birth weight in PROM group were significantly lower than those in non-PROM group （P〈0.05）. The incidence rates of preterm, low birth weight, abnormal amniotic fluid, mild asphyxia, hypertensive disorder, pregnant anemia were significantly higher in PROM group than those in non-PROM group （P〈0.05）. Conclusions HDCP and PROM may have severe impacts on neonatal outcomes.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2014年第1期55-58,共4页
Journal of Clinical Pediatrics
关键词
妊娠期高血压疾病
胎膜早破
新生儿
pregnant hypertension
premature rupture of membranes
neonate
