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264例妊娠期高血压疾病母婴结局分析
引用本文:卢丽敏,张明会,张小金. 264例妊娠期高血压疾病母婴结局分析[J]. 浙江临床医学, 2010, 12(6): 582-583
作者姓名:卢丽敏  张明会  张小金
作者单位:北京市平谷区医院妇产科,101200
摘    要:目的通过对264例妊娠期高血压疾病病例分析,了解妊娠期高血压疾病对母婴结局的影响。方法选取2007年1月至2009年12月在本院住院治疗并分娩的妊娠期高血压疾病病例264例,按威廉姆斯产科学分类标准分组:妊娠高血压组(A组)30例,轻度子痫前期组(B组)120例,重度子痫前期组(C组)114例。比较三组间母婴并发症发生情况:早产、胎盘早剥、低蛋白血症、产后出血、胎儿生长受限(FGR)、剖宫产率、胎儿窘迫、新生儿窒息、新生儿发病率及死亡率。结果孕产妇、低蛋白血症、早产、产后出血、剖宫产率、围产儿发病率及死亡率A组低于B组,B组低于C组,组间比较差异均有统计学意义(P〈0.05);胎儿窘迫、新生儿窒息、FGR、胎盘早剥发生率各组比较,差异无统计学意义(P〉0.05)。结论重度子痫前期明显增加母婴不良妊娠结局,通过加强定期产前保健,早期发现、早期诊断、早期治疗,以改善妊娠高血压疾病患者母婴结局。

关 键 词:妊娠期高血压疾病  子痫前期  母婴结局  产前保健

Analysis of outcome of 264 cases of perinatal in hypertensive disorders complicating pregnancy
Abstract:Objective To analysis the influence of hypertensive disorders complicating pregnancy on the outcome of 264 eases of perinatal. Methods Retrospective analysis was conducted on the clinical data of 264 hypertensive disorders complicating pregnancy patients who delivered in Beijing Pinggn Hospital from January 2007 to December 2009. Patients were divided into three groups:group A( n = 30 ) gestational hypertension; group B( n = 120) mild preeclampsia; group C (n = 114 ) severe preeelampsia. ;Fhe clinical characteristics and perinatal outcomes were compared among the three groups. Results ( 1 ) The incidence of preterm labor,hypoproteinemia ,Postpartum hemorrhage ,Cesarean section rate ,neonatal mortality rate in group A and group B was lower than that of group C, ( P 〈 0. 05 ). The incidence of fetal distress, neonatal asphyxia, FGR, placental abruption showed no statistisal difference among the three groups ( P 〉 0. 05 ). Conclusions A marked increase in severe pre - eclampsia perinatal outcomes can be achieved through strengthening of regular antenatal care, early detection, early diagnosis, early treatment in order to improve perinatal outcomes in patients with hypertensive disorders complicating pregnancy.
Keywords:Hypertensive disorders complicating pregnancy Preeclampsia Maternal and perinatal outcomes Antenatal care
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