妊娠合并哮喘14例分娩结局分析  

Perinatal outcome in pregnancy women with asthma in 14 cases.

作　　者：曹冬[1] 马佳[1] 

机构地区：[1]北京市海淀医院妇产科,100080

出　　处：《中国实用妇科与产科杂志》2002年第2期103-105,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　探讨妊娠合并哮喘对孕产妇及围生儿的影响。方法　 1992年 1月至 2 0 0 0年 9月在我院住院分娩妊娠合并哮喘病人 14例 ,对该组病历资料进行回顾性分析 ,并随机选取同期住院分娩的孕妇 5 6例作为对照组 ,对孕妇并发症、围生儿并发症、分娩方式及住院时间围生儿预后指标进行比较分析。结果　哮喘组孕妇产后出血发生率明显高于对照组 (P <0 0 5 ) ,哮喘组低体重儿、早产、新生儿窒息的发生率高于对照组 (P <0 0 5 ) ,哮喘组剖宫产率及住院时间高于对照组。结论　妊娠合并哮喘可致多种母儿并发症 ,孕期应加强对哮喘病情的监测 ,积极治疗 。Objective To determine the influence of asthma and its severity during pregnany on the perinatal outcome.Methods 14 deliveries complicated with asthma from Jan 1,1992 to Sep 30, 2000 in our hospital were retrospectively studied,56 normal deliveries were randomly selected as the control.The perinatal complications of both mothers and their babies,mode of delivery,the days staying in hospital and prognosis were compared.Results Obstetric hemorrhage and cesarean section rates were significantly higher in asthma group. The days staying in hospital in asthma group was much longer than that of control(P<0 05).Low birth weight,premature delivery and neonatal asphyxia in asthma group were higher than that of control.Conclusion The perinatal outcome of the mother and the infant is compromised in the pregnancy complicated by uncontrolled or severe asthma. To achieve normal maternal function and a normal outcome of pregnancy, asthma should be treated aggressively in pregnant women.

关 键 词：妊娠 支气管哮喘 分娩结局 

分 类 号：R714.253[医药卫生—妇产科学]