妊娠期高血压疾病及其并发症与母婴结局的相关性  

Correlation of pregnancy-induced hypertension and its complications and neonatal outcomes

作　　者：骆硕 高艳华[1] 郭晓[1] 石红磊[1] 胡美丽[1] 

机构地区：[1]河北省保定市妇幼保健院妇产科,071000

出　　处：《山西医药杂志》2014年第24期2854-2856,共3页Shanxi Medical Journal

基　　金：河北省保定市科技局课题(13ZF039)

摘　　要：目的探讨妊娠期高血压疾病及其并发症与母婴结局的相关性。方法将我院2011年2月至2013年2月收治的688例孕产妇,根据其疾病情况,分为2组,即:妊娠高血压组487例归为观察组;子痫前期组201例归为对照组,其中包括轻度子痫前期组116例(对照组1)、重度子痫前期组85例(对照组2),观察各组孕产妇的发病高危因素以及母婴结局。结果与观察组比较,对照组1、2的高龄、精神紧张、肥胖、营养不良、早产、产后出血、胎盘早剥、窒息、胎儿窘迫、围产儿胎儿生长受限(FGR)、死胎、新生儿死亡的比例均升高明显,差异有统计学意义(P<0.05,P<0.01)。与对照组1比较,对照组2的早产、产后出血、胎盘早剥及围产儿各种结局的比例均升高明显,差异具有统计学意义(P<0.05)。结论控制体质量应是降低发病率及减少并发症的有效措施之一,早诊断、早发现、早处理重度子痫前期是降低孕产妇及围产儿病死率的关键。Objective To explore the relationship between pregnancy induced hypertension and its complica‐tions and pregnancy outcome .Methods Six hundred and eigth‐eight cases of pregnant women in our hospital from February 2011 to February 2013 ,according to the disease situation ,were divided into 2 groups ,namely ：487 ca‐ses of pregnancy induced hypertension wereas the observation group ;201 cases of preeclampsia were classified as the control group including 116 cases of mild preeclampsia group （control group 1） ,85 cases of heavy degree pre eclampsia （control group 2） ,and high risk factors of maternal and neonatal outcomes were observed.Results Compared with the observation group ,age ,mental stress ,obesity ,malnutrition ,premature delivery ,postpartum hemorrhage ,placental abruption ,fetal distress ,perinatal asphyxia ,FGR ,stillbirth and neonatal death rate of 1 and 2 group were increased significantly ,and the difference was statistically significant （ P 〈 0.05 ,P 〈0.01） . Compared to control 1 group ,the proportion of premature delivery ,postpartum hemorrhage ,placental abruption and perinatal outcome of control 2 group were significantly increased ,and the difference was statistically signifi‐cant （ P〈0 .05）.Conclusion Weight control is one of effective measures to reduce the incidence rate and decrease the complications .Early diagnosis ,early discovery and early treatment of severe preeclampsia is the key to reduce maternal and perinatal mortality.

关 键 词：高血压 妊娠性 妊娠结局 妊娠并发症 

分 类 号：R714.246[医药卫生—妇产科学]