影响重度子痫前期孕妇及围产儿预后的相关因素  

Analysis of related factors influencing the prognosis of women with severe pre-eclampsia and their perinatal fetuses

作　　者：张红卫[1] 王琪[1] 吴静[2] 

机构地区：[1]首都医科大学附属北京妇产医院产科,100026 [2]中国疾病预防控制中心,北京100050

出　　处：《中华现代护理杂志》2010年第23期2747-2749,共3页Chinese Journal of Modern Nursing

基　　金：首都医学发展科研基金项目（2005-2011）

摘　　要：目的 了解影响重度子痫前期孕妇及围产儿预后的相关因素.方法 采用以医院为基础的方法 收集回顾性资料,共纳入157例研究样本.采用SAS8.2对孕产儿结局的危险因素进行单因素分析和多因素Logistic回归分析.结果经单因素和多因素分析,入院时血压与妊娠终止时孕妇的并发症有关,重度高血压孕妇发生并发症的危险是轻度高血压孕妇的3.147倍（95%CI：1.483～6.679）.32～36孕周终止妊娠是新生儿窒息发生的保护因素,期间所产新生儿窒息发生的危险是≤27孕周的0.026倍（95%CI：0.004～0.169）.结论 重度子痫前期孕妇的入院时血压情况（重度高血压）是孕妇预后的危险因素,32～36孕周终止妊娠是围产儿并发症发生的保护因素.Objective To investigate related factors influencing the prognosis of women with severe preeclampsia and their perinatal fetuses. Methods Data of 157 women with severe pre-eclampsia from Beijing Obstetrics and Gynecology Hospital were retrospectively collected. Risk factors affecting the outcomes of the subjects and their perinatal fetuses were analyzed by logistic stepwise regression model. Results Hypertension while admission was found related to complications at pregnancy termination. The risk of occurrence of complications in pregnant women with severe hypertension was 3. 147 （ 95% CI： 1.483～6. 679） times higher than those with mild hypertension. Pregnancy termination at 32 - 36 weeks of gestation was a protective factor of neonatal asphyxia. Incidence of neonatal asphyxia in subjects of 32～36 weeks of gestation was significantly lower than in those of less than 27 weeks （ OR =0. 026, 95% CI：0. 004～0. 169）. Conclusions For women with severe pre-eclampsia, hypertension while admission was a risk factor for their prognosis, and pregnancy termination at 32～36 weeks of gestation was a protective factor of neonatal asphyxia.

关 键 词：重度子痫前期 预后 相关因素 

分 类 号：R714.245[医药卫生—妇产科学]