疤痕子宫妊娠高血压疾病产妇妊娠结局的观察  

Pregnancy outcomes of uterine scar pregnancy hypertension disease

作　　者：林春芳 刘莉 

机构地区：[1]浙江省嘉兴市南湖区中心医院妇产科,浙江嘉兴314000 [2]浙江省嘉兴市市立三一医院产科,浙江嘉兴314051

出　　处：《中国妇幼健康研究》2015年第2期298-299,306,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨疤痕子宫妊娠高血压疾病产妇的母婴结局。方法以112例合并妊娠高血压疾病的产妇为研究对象,将有剖宫产史再次妊娠的产妇52例设为观察组,无剖宫产史妊娠产妇60例设为对照组,观察并比较两组产妇母婴结局情况。结果观察组早产、自发性早产、剖宫产、产后出血、子宫破裂、子宫全切、低出生体重、新生儿窒息及围生儿死亡发生率均高于对照组(x^2值分别为25.998、19.145、17.369、7.828、14.074、7.314、3.848、4.862、4.633,均P<0.05);两组早产儿、低出生体重、新生儿窒息及围生儿死亡发生率均随疾病程度的加重而增加,其中观察组不同疾病程度早产儿发生率均显著高于对照组(x^2值分别为7.880、16.902、8.361,均P<0.01),观察组重症子痫前期产妇新生儿窒息、围生儿死亡发生率均明显高于对照组(x^2值分别为5.344、4.531,均P<0.05)。结论疤痕子宫妊娠高血压疾病产妇妊娠结局存在较大风险,且病情程度越重,妊娠结局越差,对该类产妇应严密监护并积极采取干预措施,最大限度改善妊娠结局。Objective To study the maternal and neonatal outcomes of parturients with gestational hypertension disease and scar uterus. Methods The case control study recruited 112 parturients with gestational hypertension disease, including 52 cases of secondary pregnancy with history of previous cesarean section in observation group and 60 cases without history of previous cesarean section in control group.The maternal and neonatal outcomes were observed and compared between two groups.Results In the observation group, the incidences of premature birth, spontaneous premature delivery, cesarean section, postpartum hemorrhage, uterine rupture, total hysterectomy, low birth weight, neonatal asphyxia and perinatal death were higher than those in the control group （χ^2 value was 25.998, 19.145, 17.369, 7.828, 14.074, 7.314, 3.848, 4.862 and 4.633, respectively, all P〈0.05） .The incidences of premature, low birth weight, neonatal asphyxia and perinatal death increased as the aggravating of disease degree in two groups.The incidence of premature birth with different degree of disease in the observation group was significantly higher than that in the control group （χ^2 value was 7.880, 16.902 and 8.361, respectively, all P 〈0.01 ） .The incidences of neonatal asphyxia and perinatal death of parturients with severe preeclampsia in the observation group were significantly higher than those in the control group （χ^2 value was 5.344 and 4.531, respectively, both P〈0.05） . Conclusion There are high risks of pregnancy outcomes of parturients with gestational hypertension disease and scar uterus, and severer degree will cause worse maternal and neonatal outcomes.These parturients should be closely monitored and active interventions should be implemented in order to improve pregnancy outcomes to greatest extent.

关 键 词：疤痕子宫 妊娠高血压疾病 产妇 妊娠结局 

分 类 号：R714.24[医药卫生—妇产科学]