妊娠期高血压疾病426例临床分析

目的：探讨降低妊娠期高血压疾病患者并发症及改善母儿预后的方法。方法：对1997～2007年8月于产科分娩的426例妊娠高血压疾病患者的产检情况，分娩方式及母婴并发症进行回顾分析。结果：本地孕妇参加产前检查者明显高于外地孕妇（P〈0．05）；未检组妊娠高血压疾病总发生率高于产检组（P〈0．05）；产检组中重度子痫前期及子痫患者其早产和剖宫产率的发病率均高于未产检组（P〈0．05），但产后出血、FGR、围生儿死亡等并发症发病率明显低于未检组（P〈0．05）。结论：加强产前检查和孕期保健；对妊娠高血压疾病患者，做到定期监测、早期治疗、适时终止妊娠．对减少母婴并发症、降低母婴死亡率、保障母婴健康有着积极的意义。

Clinical analysis on 426 cases of hypertensive disorders in pregnancy

Objective: To discuss the methods of reducing pregnancy-induced hypertension in patients with complications and improving maternal and fetal prognosis. Methods: To analysis 426 cases of obstetric deliveries in patients with preg-nancy-induced hypertension disease and the maternal and child birth complications in our hospital from August 1997 to August 2007. Results: The number of local pregnant women who participated in prenatal care for pregnant women was sig-nificantly higher than the exotic pregnancy (P<0.05); The incidence of disease in non-productian unit patients with hyper-tension disease was higher than the total production Unit (P<0.05); Unit production in severe pre-eclampsia and eclampsia paticnts's premature delivery and caesarean section rate was higher than the incidence of the unit production (P<0.05), but post-partum haemorrhage, FGR, perinatal complications such as the incidence of death was obviously lower in the unit that did not check (P<0.05). Conclusion: To strengthen prenatal and pregnancy care.Regular monitoring,early treatment,and timely termination of pregnancy have positive meanings to reduce maternal complications,to reduce maternal and child mortality, maternal and to protect child health for diseases of preguancy-inducod hypertension.