摘要
目的:研究分析不同程度的妊娠高血压综合征对妊娠结局的影响。方法:回顾性分析本院120例妊娠高血压疾病患者(妊高组)临床资料,根据病情程度分为子痫前期轻度40例(前期轻度组,2组)、子痫前期重度40例(前期重度组,3组)、子痫40例(子痫组,4组),并选择相同时期正常产妇40例(正常对照组,1组),比较分析不同程度妊娠高血压综合征各组与正常对照组产妇的妊娠结局。结果:与正常对照组比较,妊娠高血压的2,3,4组的剖宫产率(15.0%比27.5%比52.5%比77.5%),新生儿窒息、胎儿窘迫和围生儿死亡的总发生率(5%比7.5%比27.5%比52.5%)明显升高,孕周明显缩短[(40.1±1.8)周比(37.9±1.7)周比(36.4±1.8)周比(34.9±1.5)周],胎儿体质量[(3312.2±430.6)g比(3013.5±462.7)g比(2745.9±481.5)g比(2536.7±489.3)g]明显降低(P<0.05或<0.01)。结论:妊娠高血压综合征影响妊娠结局,对母婴产生不良的影响,妊娠高血压程度越重,影响越大,应做好预防措施,降低不良反应的发生率。
Objective：To study and analyze influence of pregnancy-induced hypertension syndrome（PHS）of different degree on pregnancy outcome.Methods：Clinical data of 120 PHS patients（PHS group）of our hospital were retrospectively analyzed.According to their disease condition,they were divided into mild preeclampsia group（n=40,MPE group,group2）,severe preeclampsia group（n=40,SPE group,group 3）and eclampsia group（n=40,group 4）.Another 40 normal pregnant women were enrolled as normal control group（group 1）during the same period.Pregnancy outcome was compared among PHS of different degree and normal control group（group 1）.Results：Compared with normal control group,there were significant rise in cesarean section rate（（15.0% vs.27.5% vs.52.5% vs.77.5%）,total incidence rates of neonatal asphyxia,fetal distress and perinatal child death（5% vs.7.5% vs.27.5% vs.52.5%）,and significant reductions in pregnancy weeks[（40.1±1.8）weeks vs.（37.9±1.7）weeks vs.（36.4±1.8）weeks vs.（34.9±1.5）weeks]and fetal body mass[（3312.2±430.6）g vs.（3013.5±462.7）g vs.（2745.9±481.5）g vs.（2536.7±489.3）g]in group2,3,4,P〈0.05 or〈0.01.Conclusion：Pregnancy-induced hypertension syndrome affects pregnancy outcome and possesses adverse influence on mother and baby.The influence gets bigger along with disease aggravates,therefore,preventive measures should be ready in order to reduce incidence rate of adverse reactions.
作者
秦小宁
王玉
QIN Xiao-ning, WANG Yu(Department of Gynecology, Maternal and Child Health Hospital of Tongchuan City, Tongchuan, Shaanxi, 727000, China)
出处
《心血管康复医学杂志》
CAS
2018年第3期337-339,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
高血压
妊娠性
子痫
妊娠结局
Hypertension
pregnancy-induced
Eclampsia
Pregnancy outcome
