妊高征82例临床分析  

The clinical analysis on 82 PIH.

作　　者：李培莉[1] 

机构地区：[1]山西医科大学汾阳学院,032200

出　　处：《中国优生与遗传杂志》2006年第6期75-76,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨妊高征的临床特点.方法回顾分析82例妊高征发生的一般情况,以及66例单胎中重度妊高征并发症,新生儿新生儿窒息、围产儿死亡与孕周、新生儿体重、分娩方式的关系.结果重高征发生以9至1月份发生率最高,常见的并发症有产后出血、胎儿生长受限、新生儿窒息.中重度妊高征以孕36～37^＋6w组、新生儿体重≥2500g的新生儿窒息率、围产儿死亡率最低,几组比较均有显著性差异（P〈0.01）.剖宫产比阴道分娩新生儿窒息率、围产儿死亡率均低,2组比较无显著性差异（P＞0.05）.结论适龄、适时妊娠可以减少妊高征的发生,中重度妊高征应选择在孕36～37^＋6w,估计胎儿体重≥2500g时终止妊娠较合适.Objective： To discuss the clinical characteristics of PIH. Methods ： To look back and analyse the cases on 82 PIH, the complication and the relation about the anoxia of newborn, death of newborn and delivering manner of 66 single fetus of medium severe PIH . Results ： There is the highest frequency of PIH during this September to next January. It usually happen that postpartum hemorrhage, fetal growth restriction and anoxia of newborn. If the newborn of single fetus severe PIH is delivered during the pregnancy for 36 - 38 weeks and weighing 〉 2500 grams , it has the lowest rate of anoxia of newborn and the lowest death rate. Comparing with other groups , there is the obvious difference. The rate of anoxia of newborn and newborn death of delivering by vagina is higher than that of by caesarean. It has no very notable difference between two bundles （ P 〉 0. 005 ）. Conclusion： Suitable age and suitable time can prevent the case of PIH. It is suitable for severe PIH to terminate the pregnancy when one is pregnant for 36 - 39 weeks, and fetus＇s weight is equal or over 2500 grams.

关 键 词：妊娠高血压综合征 新生儿窒息 死亡率 临床分析 

分 类 号：R714.246[医药卫生—妇产科学]