妊娠合并风湿性心脏病125例分析  

Retrospective analysis of 125 cases of pregnancies complicated by rheumatic heart disease

作　　者：李艳秋[1] 余艳红[1] 周俊[1] 夏珣[1] 

机构地区：[1]南方医科大学南方医院妇产科,广东广州510515

出　　处：《南方医科大学学报》2010年第2期308-310,共3页Journal of Southern Medical University

基　　金：广东省科技计划项目(2007B030501007)

摘　　要：目的探讨风湿性心脏病对妊娠与分娩的影响。方法回顾性分析125例妊娠合并风湿性心脏病的病例资料,孕前行心脏手术设为A组,未行手术组设为B组,比较两组心功能、妊娠期并发症及合并症、分娩孕周、分娩方式及母婴结局。结果心脏手术后心功能明显改善、妊娠期并发症明显减少,两组有显著性差异(P<0.05);两组足月分娩孕周有统计学差异(P<0.05);A组无孕产妇及围产儿死亡;B组围产儿死亡2例,产妇死亡2例;剖宫产是两组的主要分娩方式。结论心脏手术后明显改善风湿性心脏病孕妇的心功能状态,降低不良并发症的发生,改善妊娠结局;择期剖宫产是心脏瓣膜置换术后分娩的首选方式。Objective To investigate the impact of rheumatic heart disease on pregnancy.Methods A retrospective study was conducted in 125 pregnant women with rheumatic heart disease.These cases were divided into operation（group A） and non-operation（group B）,and the cardiac function,pregnancy complications,gestational weeks,delivery modes and outcomes of pregnancy were compared.Results The cardiac function was significantly improved and pregnancy complications reduced after the cardiac operation with extended gestational weeks,showing significant differences between the two groups（P〈0.05）.One perinatal fetal death without maternal death occurred in group A,as compared with two maternal and two perinatal deaths in group B.Cesarean section was the primary delivery mode in these cases.Conclusion Surgical interventions can improve the cardiac function,reduce the pregnancy complications and improve the pregnancy outcomes in pregnant women with rheumatic heart disease.Cesarean section is the primary choice for pregnant women with prosthetic heart vavle replacement.

关 键 词：风湿性心脏病 心脏瓣膜置换 妊娠 

分 类 号：R714.2[医药卫生—妇产科学] R541.2[医药卫生—临床医学]