高龄孕妇并发妊娠期高血压疾病对妊娠结局的影响

目的探讨高龄孕妇并发妊娠期高血压疾病对妊娠结局的影响。方法对51例年龄≥35岁的妊娠期高血压疾病孕妇（观察组）和同期143例〈35岁妊娠期高血压疾病孕妇（对照组），进行对照分析。观察两组妊娠过程的并发症（心力衰竭、肝功能异常、肾损害、HELLP综合征、重度子痫前期、子痫、胎盘早剥、早产、胎儿窘迫、新生儿窒息、围生儿死亡、胎儿生长受限）发生情况。结果观察组在并发肾损害、肝功能异常、HELLP综合征、早产较对照组高，差异有统计学意义（P〈0．05），观察组重度子痫前期和子痫的发生率及心力衰竭、胎盘早剥与对照组比较差异无统计学意义（P〉0．05）。观察组胎儿窘迫、新生儿窒息、围生儿死亡、胎儿生长受限发生率与对照组比较差异有统计学意义（P〈0．05）。结论高龄孕妇并发妊娠期高血压疾病对母儿危害大，有必要加强预防保健和临床处理。

The effects of elderly pregnancy complicated with hypertensive disorder complicating pregnancy on the pregnant outcome

Objective To investigcte the effects of elderly pregnancy complicated by hypeaensive disorder on the pregnant outcome.Methods The analysis on the ultimate outcomes of pregnancy with HDCP and their neo nates is conducted.among which 51 cases with the pregnancy at the age of 35 or above were chosen as the observation group,while 143 cases whose ages are below 35 were chosen as the control group and their 217 neonates.The process of two groups of pregnancy complications:The rate of heart failure,abnormal liver function,kidney damage,HELLP syndrome,premature,placenta abruption,severe preeclampsia and eclampsia.The rate of fetal distress,neonatal as phyxia,perinatal mortality rate,FGR were observed.Results The rate of kidney damage,abnormal liver function, HELLP syndrome or premature in the observation group is remarkably higher than that in the contrl group(P＜ 0.05).There is no significant difference between the two groups on the rate of severe preeclampsia and eclampsia, heart failure,placenta abruption(P＞0.05).The rate of FGR,fetal distress,neonatal asphyxia,perinatal mortality rate is signicartly higher in the observation group than that in the control group(P＜0.05).Conclusion Elderly pregnancy complicated by HDCP is harmful for pregnant women and neonatal.It is necessary to reinforce the prevention measures and clinical treatment.