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早期干预治疗妊娠期高血压疾病对妊娠结局的影响
引用本文:唐满花.早期干预治疗妊娠期高血压疾病对妊娠结局的影响[J].中国中医药咨讯,2010,2(12):188-189.
作者姓名:唐满花
作者单位:嘉禾县妇幼保健院妇产科,湖南,嘉禾,424500
摘    要:目的探讨不同程度妊娠期高血压综合征(妊高症)疾病对妊娠结局的影响。方法回顾性分析我院住院分娩的170例妊娠期高血压疾病的临床资料,选取同期住院分娩的正常妊娠孕妇340例作为对照,分析两组孕妇分娩方式、并发症的发生及其对围生儿的影响。结果170例妊高症产妇中,妊娠期高血压和子痫前期(包括轻度和重度)分别占70.6%、29.4%。子痫前期的新生儿窒息、胎儿窘迫、产后出血、围生儿死亡、早产儿、剖宫产及低出生体重(体重〈250%)的发生率明显高于妊娠期高血压患者,不同指标在各组间的差别均有统计学意义(P〈0.05)。妊高症组的新生儿窒息、胎儿窘迫、胎盘早剥、产后出血、围生儿死亡、早产儿、剖宫产及低出生体重(体重〈2500g)的发生率明显高于妊高症患者,不同指标在各组间的差别均有统计学意义(P〈0.05)。结论妊高症对母婴危害严重,应通过科学有效管理和预防,降低妊高症的发生,尤其是子痫的发生率。

关 键 词:妊高症  子痫  妊娠结局

Pregnancy induced hypertension of early intervention on pregnancy outcome
Abstract:ObjectiveTo explore the influence of the pregnancy-induced hypertension(PIH)to the outcome of pregnancy. Methods A retrospective study of 170 cases with PIH who delivered in hospital, at the same time 340 pregnant women were selected at the same hospital as ~,ontrol and to compare the mode of delivery, the occurrence of complications and its impact on perinatal. Re, suhsThe gestational hypertension and pre-eclampsia (including mild and severe) were accounted for 70.6% and 29.4% among 170 eases. Neonatal asphyxia, fetal distress, postpartum hemorrhage, perinatal mortality, prematurity, cesarean section and low birth weight (weight 〈2500g) in pre-eclampsia group were significantly higher than that in patients with gestational hypertension (P〈0.05),and the neonatal asphyxia, fetal distress, placental abruption, postpartum hemorrhage, perinatal mortality, prematurity, cesarean section and low birth weight (weight 〈2500g) among PIH goup were. significantly higher than that in patients with non-PIH (P〈0.05). Conclusion PIH cause serious harm to the mother and child, it is necessary to reduce the incidence of PIH through scientific and effective management and prevention, particularly in the incidence of eclampsia.
Keywords:Pregnancy-induced hypertension (PIH)  Eclampsia  Pregnancy outcome
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