摘要
目的探讨经阴道分娩和剖宫产分娩方式对重度妊娠期高血压疾病合并胎儿生长受限母婴结局的影响。方法选择2012年3月-2016年2月解放军一七四医院产科收治的114例重度妊娠期高血压疾病合并胎儿生长受限的单胎产妇为研究对象,经阴道分娩的53例产妇为对照组,剖宫产分娩的61例产妇为观察组。观察两组产妇的收缩压(SBP)、舒张压(DBP)、妊娠结局和新生儿动脉血、静脉血血气指标及体重、窒息发生率、死亡率等指标。结果观察组产妇的SBP、DBP明显低于对照组,差异有统计学意义(P<0.01);产后2 h出血量、并发症发生率均明显低于对照组,差异有统计学意义(P<0.05)。观察组新生儿脐动脉血、碳酸氢根(HCO_3^-)、血细胞比容(HCT)与对照组新生儿比较差异无统计学意义(P>0.05);但氧气分压(PO_2)、二氧化碳分压(PCO_2)明显低于对照组,p H高于对照组,差异有统计学意义(P<0.05)。观察组新生儿脐静脉血p H、PO_2、HCO_3^-、PCO_2及HCT与对照组新生儿比较差异无统计学意义(P>0.05);新生儿窒息发生率、死亡率均明显低于对照组,差异有统计学意义(P<0.05)。结论重度妊娠期高血压疾病合并胎儿生长受限产妇实施剖宫产可降低血压、减少并发症,使胎儿脱离缺氧环境,降低不良后果,确保母婴安全。
Objective To explore the effect of delivery modes（vaginal delivery and cesarean section） on maternal and neonatal outcomes of severe hypertensive disorder complicating pregnancy（HDCP） complicated with fetal growth restriction（FGR）.Methods A total of 114 single-birth pregnant women with HDCP complicated with FGR were selected from Department of Obstetrics in the hospital from March 2012 to February 2016 as research object,then they were divided into control group（including 53 cases choosing vaginal delivery）and observation group（including 61 cases choosing cesarean section）.Systolic blood pressure（SBP）,diastolic blood pressure（DBP）,pregnancy outcomes,neonatal arterial blood gas indexes,neonatal venous blood gas indexes,weight,incidence rates of asphyxia,and mortalities in the two groups were observed.Results SBP and DBP in observation group were statistically significantly lower than those in control group（P〈0.01）.The amount of blood loss within two hours after delivery and the incidence rates of complications in observation group were statistically significantly lower than those in control group（P〈0.05）.There was no statistically significant difference in HCO3^- and hematocrit in umbilical artery blood between observation group and control group（P〉0.05）.PO2 and PCO2in umbilical artery blood in observation group were statistically significantly lower than those in control group,while p H value in observation group was statistically significantly higher than that in control group（P〈0.05）.There was no statistically significant difference in pH value,PO2,HCO3^-,PCO2,and hematocrit in umbilical artery blood between observation group and control group（P〉0.05）.The incidence rate of neonatal asphyxia and neonatal mortality in observation group were statistically significantly lower than those in control group（P〈0.05）.Conclusion Cesarean section can reduce blood pressure and complications of pregnant women with HDCP complicated with FGR,so the fetuses are blo
出处
《中国妇幼保健》
CAS
2017年第6期1170-1172,共3页
Maternal and Child Health Care of China
关键词
妊娠期高血压疾病
胎儿生长受限
分娩方式
血气指标
妊娠结局
Hypertensive disorder complicating pregnancy
Fetal growth restriction
Delivery mode
Blood gas index
Pregnancy outcome
