2000～2008年重度子痫前期常见并发症流行病学调查分析  

Epidemiological investigation and analysis on commen complications of severe preeclampsia from 2000 to 2008

作　　者：胡昭怡[1] 

机构地区：[1]广东省江门市妇幼保健院,529000

出　　处：《中国妇幼保健》2009年第33期4710-4711,共2页Maternal and Child Health Care of China

摘　　要：目的:调查分析重度子痫前期常见并发症发病率及变化趋势,为孕产期保健提供参考资料。方法:采用回顾性调查分析2000～2008年1812例重度子痫前期孕妇及2019例无妊娠期高血压疾病的孕妇为对照人群。结果:重度子痫前期孕妇并发心脏病113例,发病率为6.24%;脑血管意外72例,发病率3.97%;视网膜病变47例,发病率2.62%;胎儿生长受限179例,发病率9.87%。对照组孕妇并发心脏病5例,发病率0.25%;脑血管意外3例,发病率0.15%;视网膜病变2例,发病率0.10%;胎儿生长受限16例,发病率0.80%。心脏病及胎儿生长受限发病率逐年降低,而脑血管意外及视网膜病变发病率变化不明显。结论:重度子痫前期孕妇常见并发症发病率远高于正常对照组,应进一步加强脑血管意外及视网膜病变防治工作,做到早诊断、早治疗,从而降低发病率。Objective： To investigate and analyze the incidence of commen complications of severe preeclampsia and change trends, provide evidence for maternal health care. Methods： 1 812 patients with severe preeclampsia and 2 019 normotensive pregnant women were investigated retrospectively from 2000 to 2008. Results ： Among patients with severe preeclampsia, the incidences of heart diseases, cerebrovascular accident, retinopathy and fetal growth restriction were 6. 24% （ 113 cases） , 3.97% （72 cases） , 2.62% （47 cases） and 9.87% （ 179 cases）, respectively. Among normotensive pregnant women, the incidences of heart diseases, cerebrovascular accident, retinopathy and fetal growth restriction were 0. 25% （5 cases）, 0. 15% （3 cases）, 0. 10% （2 cases） and 0. 80% （2 cases）, respectively. The incidences of heart diseases and fetal growth restriction decreased year by year, however, there wasnt any obvious changes in the incidences of cerebrovascular accident and retinopathy. Conclusion： The incidences of commen complications of severe preeclampsia are higher than those of normotensive pregnant women. More attention should be paid to prevent and control cerebrovascular accident and retinopathy. Early diagnosis and treatment may reduce the incidences.

关 键 词：重度子痫前期 心脏病 脑血管意外 视网膜病变 胎儿生长受限 

分 类 号：R714.245[医药卫生—妇产科学]