剖宫产术在治疗妊娠高血压综合征患者中的预后分析

目的:探讨剖宫产术在临床治疗妊娠高血压综合征(妊高征)患者中安全性及效果。方法:采用历史前瞻性流行病学方法进行回顾性分析。结果:妊高征患者剖宫产终止妊娠率为43.75%,其中重度妊高征患者剖宫产率为97.37%。孕产妇病死率为0.64%,围生儿病死率为1.83%。剖宫产术后1周、术后42天和术后2年血压仍高于正常者分别为18.58%、7.69%和1.92%。产褥病死率为0.64%。结论:术前经解痉等积极治疗与适时终止妊娠是减少母婴并发症、降低围产期病死率、提高生活质量的关键,对于重度妊高征患者,以剖宫产方式终止妊娠为宜。

STUDY ON THE OUTCOME AND THE CLINICAL EFFECT OF CESAREAN SECTION IN PREGNANCY INDUCED HYPERTENSION

Objective:TO explore the safety and effect of cesarean section in pregnancy induced hypertension(PIH).Methods: A retrospectively epidemiologic study was conducted.Results: The average rate of cesarean section in PIH was 43.75%.While is was 97.37% for moderate and severe PIH.The mortality of maternity was 0.64%,that of fetus was 1.83%,18.58%,7.69% and 1.92% of cases still had hypertension 1 week,42 days and 2 yesrs after cesarean section,respectively,Conclusion: Timely cesarean section with avtive antispasm treatment before operation is a crucial measure to reduce the complications and perinatal mmorbity and improving life quality,especially for severe PIH