2486例妊娠期高血压疾病患者的临床分析  

Clinical analysis of the 2 486 patients with hypertensive disorders in pregnancy

作　　者：何雪仪 王晨虹[1] 苟文丽[2] 王宏宇[1] 胡端林 

机构地区：[1]南方医科大学附属深圳妇幼保健院产科,深圳518028 [2]西安交通大学医学院第一附属医院产科

出　　处：《中华产科急救电子杂志》2014年第3期46-49,共4页Chinese Journal of Obstetric Emergency（Electronic Edition）

摘　　要：目的了解近年来南方医科大学附属深圳妇幼保健院收治的妊娠期高血压疾病患者的发病趋势、并发症情况及对妊娠结局的影响。方法回顾性分析2009年1月至2013年12月在南方医科大学附属深圳妇幼保健院就诊并分娩的2 486例妊娠期高血压疾病患者的临床资料,包括发病率、孕妇年龄、住院天数、分娩方式、流动人口比例及母婴并发症等。结果 5年间我院重度子痫前期发生率呈现下降趋势,从2009年的1.74%降至2013年的1.34%(χ2=12.321,P<0.05);流动人口所占比例较高(46.46%);分娩方式仍然以剖宫产为主(74.09%),高于阴道分娩(21.44%),(χ2=736.084,P<0.001)。妊娠期高血压疾病孕妇严重并发症的构成依次是:产后出血、胎盘早剥、HELLP综合征、心功能不全、弥散性血管内凝血、急性肾衰竭、脑血管意外;其围产儿严重并发症的构成依次为:早产、胎儿生长受限、新生儿窒息、死胎、流产。结论妊娠期高血压疾病仍是威胁孕产妇以及围产儿健康的严重疾病,必须加强产前保健,早发现、早诊断和早治疗,以改善母婴妊娠结局。Objective To investigate the clinical incidence trend, complication and pregnancy outcome of hypertensive disorders in pregnancy of Shenzhen Maternity and Child Healthcare Hospital Affiliated to Southern Medical University in recent years. Methods A retrospective study was conducted in 2 486 patients with hypertensive disorders in pregnancy, who were admitted in Shenzhen Maternity and Child Healthcare Hospital Affiliated to Southern Medical University from January 2009 to December 2013. The clinical data included morbidity, maternal age, days of hospitalization, delivery mode, the proportion of floating population, and the maternal and infant complications. Results During 5 years, the incidence rate of severe preeclampsia decreased fronl 1.74% （in 2009） to 1.34% （in 2013） , （x^2 = 12. 321, P 〈 0. 05）. The proportion of floating population was quit high （46.46%）. The incidence rate of cesarean section （74. 01% ） was higher than that of vaginal deliveFy （21.44%）, （x^2 =736. 084, P 〈0. 001 ）. The ratio of the serious complicationsby hypertensive disorders in pregnancy was postpartum hemorrhage, placental abruption, HELLP syndrome, heart failure, disseminated intravascular coagulation, acute renal failure, and cerebrovascular accident. The ratio of perinatal serious complications was preterm birth, fetal growth restriction, neonatal asphyxia, stillbirth, and abortion. Conclusions Hypertensive disorders in pregnancy is still threating to maternal and perinatal health. The perinatal outcome can be improved through strengthening regular antenatal care, early detection, early diagnosis and early treatment.

关 键 词：高血压 妊娠性 回顾性研究 妊娠结局 

分 类 号：R714.252[医药卫生—妇产科学]