妊娠期高血压疾病合并胎儿生长受限的分娩时机和方式分析

目的探讨妊娠期高血压疾病合并胎儿生长受限（FGR）的分娩时机和方式对妊娠结局的影响。方法回顾性分析分娩的138例妊娠期高血压疾病合并胎儿生长受限患者分娩时机及方式与围产儿预后的关系。结果138例FGR围产儿死亡41例,新生儿窒息59例。分娩孕周34～36＋6周时新生儿窒息率、围生儿死亡率显著低于其他孕周（P〈0.01）,剖宫产组新生儿窒息率、围生儿死亡率明显低于阴道分娩组（P〈0.05）。结论分娩时机与方式是影响妊娠期高血压疾病合并胎儿生长受限围产儿预后的关键环节。剖宫产是主要的分娩方式。

Analysis of delivery opportunity and way on the perinatal outcome in patients with hypertensive disorder complicating pregnancy with fetal growth restriction

Objective To investigate the influence of delivery opportunity and way on the perinatal outcome in patients with with hypertensive disorder complicating pregnancy with fetal growth restriction（FGR）.Methods Retrospective data analysis about 138 penatal infants with FGR born to mothers with hypertensive disorder complicating pregnancy were made.Results There were 41deaths and 59 asphxia in 138 perinatal infants.The rate of deaths and asphxia was the lowest when delivery gestation was 34～36＋6 weeks（P〈0.01）.The rate of deaths and asphxia in cesarean delivery group was significantly lower compared with vaginal delivery group（P〈0.05）.Conclusion The delivery opportunity and way were important factors of influencing the perintal outcome in patients with hypertensive disorder complicating pregnancy with fetal growth restriction.Caesarean section was main delivery manner.