妊娠期高血压疾病并发肾病综合征临床特点及对围产儿的影响  

Analysis of nephrotic syndrome with pregnancy induced hypertension syndrome

作　　者：党艳丽[1] 张文颖[1] 钟淑敏[1] 王莉[1] 

机构地区：[1]解放军306医院妇产科,北京100101

出　　处：《陕西医学杂志》2011年第8期1032-1034,共3页Shaanxi Medical Journal

摘　　要：目的:探讨子痫前期型肾病综合征的临床特点及对母婴的影响。方法:回顾性分析26例子痫前期型肾病综合征和157例重度子痫前期的血压、血浆白蛋白、24h尿蛋白、肌酐、尿素氮、尿酸及母儿结局;结果:子痫前期型肾病综合征占分娩总数的0.35%,占重度子痫前期15.03%。肾病综合征及重度子痫前期两组之间的最高收缩压、最高舒张压无显著性差异,而肾病综合征血肌酐、尿酸明显增高;肾病综合征组发病早产、围产儿死亡与重度子痫前期组之间均有非常显著性差异。结论:子痫前期型肾病综合征发病孕周早,肾功能受损较重,早产儿发生率高,围死率较高。Objective：To study the clinical feature and the effects of nephritic syndrome during pregnancy（NSP） to mother and infant.Methods：24h urinary total protein,plasma level of Alb,BUN,Ua,Cr,and the maternal and fetal outcomes were detected in 26 cases of NSP（NSP group） and 157 cases of severe preeclampsia hypertension（control group） in our hospital in the past 4 years.Results：The NSP was 0.35% in total deliveries,and account for 15.03% of severe preeclampsia.The gestation week and syndrome diagnosed was earlier and serious in NSP group than that in control group.The systolic,diastolic have no significantly different in the two groups,Alb,Ua and Cr was high in NSP.Conclusion： NSP often occurs early in gestation.Renal function impairment is sever.The fetal prognosis is poor.

关 键 词：妊娠并发症 高血压 肾病综合征 子痫 围生医学 

分 类 号：R741.25[医药卫生—神经病学与精神病学]