妊娠期高血压疾病的产科处理与妊娠结局的关系

目的：探讨产科处理对妊娠期高血压疾病患者母儿预后的影响。方法：回顾性分析552例妊娠期高血压疾病患者母儿并发症及产科处理与妊娠结局的关系。结果；（1）妊娠期高血压疾病患者剖宫产率为69．38％（383／552），剖宫产组在年龄、初产、孕周、病情程度、新生儿室息、死胎及新生儿体重等方面与自然分娩组比较差异均有统计学意义（P〈0．05～0．001）。（2）妊娠期高血压疾病患者孕35周前终止妊娠组在年龄、初产、病情程度、分娩方式、双胎、胎儿窘迫、死胎、IUGR、新生儿窒息及新生儿死亡等方面与孕35周后终止妊娠组比较差异均有统计学意义（P〈0．05～0．001）。（3）妊娠期高血压疾病患者孕35周后剖宫产组与自然分娩组在年龄、初产、病情程度、新生儿体重等方面比较差异均有统计学意义（P〈0.05～0．001）。结论：妊娠期高血压疾病患者在妊娠35周前、后分娩具有不同的妊娠结局，产科处理影响其母儿预后。

The relations about obstetrical treatments on pregnancy induced hypertension and the results of pregnancy

Objective: To evaluate the effect of obstetrical treatments on pregnancy induced hypertension. Method: To retrospectively analyze the relations between obstetrical treatment and the results of pregnancy in 552 cases with pregnancy induced hypertension. Results: (1) The cesarean section rate was 69. 38%, and the cesarean section group had statistical significance to the vaginal delivered group in age, first delivery, pregnancy weeks, state of illness, newborn suffocation, stillborn fetus, and newborn weight, etc (P <0. 05-0. 001). (2) There was statistical significance in two groups that delivered before and after 35 pregnancy weeks in age, first delivery, state of illness, delivery method, twins, fetal distress, stillborn fetus, IUGR, newborn suffocation, and newborn death, etc (P <0. 05-0. 001). (3) In the delivery method of the two groups of after 35 pregnant weeks, there were significant differences in age, first delivery, state of illness, and newborn weight, etc (P <0. 05-0. 001). Conclusions: There were different results between two groups that delivered before and after 35 pregnant weeks, and obstetrical treatment could affect fetal and maternal prognosis.