自然分娩与干预性分娩对妊高征围产儿的影响  

The Effect of Natural and Interference Deliveries on Perinatals in PIH

作　　者：高恭兴[1] 马丽[1] 杜建秋[1] 

机构地区：[1]天津市中心妇产科医院,300052

出　　处：《天津医药》1998年第6期354-356,共3页Tianjin Medical Journal

摘　　要：妊高症(PIH)是孕产妇及围产儿死亡的主要原因。恰当的分娩方式与围产儿的预后关系密切。对62例PIH及围产儿进行回顾性分析。结果:1.适时干预性终止妊娠能使孕妇病情迅速好转,并使胎儿尽早脱离宫内不良环境,减少胎死宫内的发生。2.在重度PIH。干预性分娩者明显高于自然分娩组,围产儿预后明显优于自然分娩组。3.重度PIH宜选用剖宫产终止妊娠。4.轻、中度PIH患者孕37周后,应采取干预性分娩,可提高围产儿成活率及生存质量。Pregnancy-induced hypertension(PIH) is a major reason for pregnant mortality and perinatal mortality. The perinatal fetal prognosis is directly related with delivery mode. Sixty-two pregnant women suffered from PIH and their newborns were enrolled for study. Results: 1. The condition of patients can be improved rapidly by pregnancy termination in good time,and fetus may be out: of the harmful environment as early,fetal death rate in uterus was decreased. 2. In severe PIH cases, interference delivery rate is higher than natural delivery rate. The perinatal fetal prognosis for interference delivery is better than natural delivery. 3. In mild and moderate PIH cases,pregnancy should be terminated after 37 gestational weeks,perinatal mortality can be reduced,perinatal fetal surviving quality can be improved. 4. In severe PIH cases,ce-sarean section is the first choice for pregnancy termination.

关 键 词：妊娠高血压 综合征 围产儿 分娩 

分 类 号：R714.7[医药卫生—妇产科学] R714.246[医药卫生—临床医学]