安阳地区中重度妊高征围产儿预后调查  

Investigation of the prognosis of perinatal infant with mediate and severe pregnancy induced hypertension syndrome.

作　　者：李志卫[1] 

机构地区：[1]河南省安阳市妇幼保健院妇产科,455000

出　　处：《中国优生与遗传杂志》2000年第4期73-74,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的 :探讨中、重度妊高征对围产儿预后的影响。方法 :1996年 1月 1997年 8月在我院住院分娩的中、重度妊高征病人 2 5 1例为观察组 ,同期住院分娩的正常妊娠 198例为对照组 ,分为≥ 33 35周 ,≥ 35 37周 ,≥ 37周。分别将两组新生儿出生体重、Apgar评分进行对照分析。结果 :妊娠≥ 33 35周新生儿出生体重、Apgar评分均无显著性差异 (P >0 .0 5 ) ,妊娠≥35 37周新生儿出生体重有差异 (P =0 .0 5 ) ,Apgar评分无差异 (P >0 .0 5 ) ;妊娠≥ 37周新生儿出生体重及Apgar评分均有极显著性差异 (P <0 .0 1)。结论 :中、重度妊高征病人在妊娠≥ 35 37周或以前尽早明确诊断 ,早期治疗 ,尽早改善胎儿宫内生存环境 ,对改善妊高征儿的预后 ,降低围产儿死亡率意义重大。Objective:To investigate the prognosis of perinatal infant with mediate and severe pregnancy induced hypertension syndrome(PIH).Methods:Infant birth weight and Apgar score were analysed in 251 cases of mediate and severe PIH (study group)and 198 cases of non PIH pregnancy (control group).According to the different age of gestation were classified respectively into 3 subgroups,group I:≥33?35 weeks,group Ⅱ:≥35?37 weeks,and group Ⅲ:≥37 weeks.Results:There is no significant difference in both infant birth?weight and Apgar score between the both group I(P>0.05).There is significant difference in infant birth?weitht (P=0.05) and no difference in Apgar score (P>0.05) between both groups Ⅱ.There is very significant difference in both infant birth?weight and Apgar score between both groups Ⅲ (P<0.01).Conclusions:Early diagnosis and treatment of PIH before 35 weeks gestation,it can improve fetal living environment in uterus as soon as possible that plays an important role in improving the prognosis of perinatal infant and decreasing perinatal mortality of PIH.

关 键 词：妊高征 围产儿 预后 调查 

分 类 号：R714.7[医药卫生—妇产科学]