妊娠高血压综合征防治方法对母婴预后的影响  

drome and to the maternal infant prognosis

作　　者：付玉芬[1] 

机构地区：[1]淄博市妇幼保健院产科,255029

出　　处：《国际医药卫生导报》2011年第18期2263-2265,共3页International Medicine and Health Guidance News

摘　　要：目的探讨妊娠高血压综合征的防治方法。方法选择妊娠高血压综合征患者60例，在解痉、镇静、降压以及预防产后出血等治疗的基础上，给予硫酸镁治疗，观察治疗前后患者的平均动脉压、血尿素氮、肌酐与尿酸的变化情况，观察对母婴预后的影响。结果所有患者治疗后平均动脉压、尿素氮、尿酸均降低，与治疗前比较，差异有显著性（P〈0．05）。但肌酐变化差异无显著性（p〉0．05）。60例患者均安全分娩，产妇无并发症发生，无新生儿窒息，无围生儿死亡，均痊愈出院。结论硫酸镁治疗妊娠高血压综合征可降低血压、改善母婴预后，阻滞妊娠高血压综合征病理过程的恶化，降低围产儿死亡率。Objective To explore the effects of preventing and controlling methods for preg- nancy induced hypertension syndrome （PIHS） and to the maternal infant prognosis. Methods 60 cases of PIHS were selected and treated with spasmolysis, calm, bring high blood pressure down and postpartum hemorrhage, and then added with the magnesium sulfate treatment, the change status of patients＇ average arterial pressure, the blood urea nitrogen, the creatinine and the uric acid were observed and compared the effect to maternal infant prognosis with those before treatment. Results After treatment the average arterial pressure, the urea nitrogen, and the uric acid all decreased, compared with those before treatment, there was significant difference （P〈0.05）. But no significant difference was found in the creatinine（P〉0.05）. 60 patients had safe delivery, without complication occurrence and asphyxia neonatorum, no death of prenatal infants. And all patients were cured. Conclusion The magnesium sulfate treatment for PIHS may reduce the blood pressure, improve the maternal infant prognosis, hinder the worsening of pathology process of PIHS, and reduce mortality rate of prenatal infants.

关 键 词：妊娠高血压综合征 母婴预后 防治 

分 类 号：R714[医药卫生—妇产科学]