合并不同级别心功能心脏病孕妇母婴结局的影响

目的探讨合并不同级别心功能心脏病孕妇对妊娠结局的影响。方法选择2009年1月-2011年12月在重庆市西郊医院妇产科就诊的58例合并不同级别心功能心脏病孕妇为研究对象,分析合并不同级别心功能心脏病孕妇终止妊娠的方式、时机、孕周及母婴结局。结果心功能Ⅲ～Ⅳ心脏病孕妇剖宫产率明显高于心功能Ⅰ～Ⅱ心脏病孕妇（χ2=4.006,P〈0.05）;心功能Ⅲ～Ⅳ心脏病孕妇早产率、新生儿出生体重〈2 500 g及围产儿死亡率明显高于心功能Ⅰ～Ⅱ心脏病孕妇（P〈0.05）。结论在对心脏病孕妇进行产前保健时应加强产前宣教,并且在心脏病孕妇妊娠期间积极治疗心脏病,最大限度地改善心脏病孕妇的心脏功能,减少孕妇早产,提高新生儿存活率。

Influence of Different Heart Functions on Maternal and Neonatal Outcomes in Pregnant Women with Heart Disease

Objective To explore the effect of different heart functions on maternal and neonatal outcomes in pregnant women with heart disease.Methods We collected the clinical data of 58 pregnant women with heart disease and different heart functions treated in Department of Obstetrics and Gynecology,Xijiao Hospital of Chongqing from January 2009 to December 2011.The way,the time and gestational age of pregnancy termination,and maternal and neonatal outcomes were analyzed.Results The rate of cesarean section in pregnant women with heart disease and III or IV levels of heart function was significantly higher than that of ones with heart disease and I or II levels of heart functions(χ2=4.006,P<0.05).The premature birth rate,neonatal birth weight <2,500 g and perinatal mortality in pregnant women with heart disease and III or IV levels of heart functions were significantly higher than those of ones with I or II levels of heart functions(P<0.05).Conclusions It is necessary to enhance prenatal health education and actively treat heart disease during pregnancy in pregnant women with heart disease so as to maximally improve heart functions,reduce the occurrence of premature birth,and increase neonatal survival rate.