妊娠高血压疾病患者血清皮质醇水平对围生儿预后的影响  

Prognostic Influence of Perinatal Infants with Serum Cortisol Level in Patients with Pregnancy Induced Hypertension

作　　者：葛新梅[1] 冯国惠[1] 

机构地区：[1]新疆维吾尔自治区人民医院产科,乌鲁木齐830001

出　　处：《新疆医学》2015年第7期910-912,共3页Xinjiang Medical Journal

摘　　要：目的探讨不同程度妊娠高血压疾病患者血清皮质醇水平与围生儿预后的关系。方法妊娠期高血压疾病患者血清皮质醇水平高低与胎儿生长受限、死亡、早产、新生儿窒息等预后具有一致性,差异具有统计学意义。结果保守治疗逐渐被淘汰,DHS由于偏心固定对于粉碎性内侧皮质缺损的患者易于出现内固定材料断裂,螺钉切割股骨头。PFNA及伽马钉配合牵引床术前复位,以其适用范围广,半闭合复位及固定,损伤小,出血少。结论随着妊高征病情程度的加重,血清皮质醇水平增高;妊娠高血压综合征患者血清皮质醇水平越高,围生儿预后越差。早期检测孕妇血清皮质醇水平,对围生儿预后有一定的评估,以早发现、早治疗,努力改善围生儿的预后。Objective To research the effect of the serum cortisol level of pregnancy induced hypertension syndrome patients on the perineonate＇prognosis. Methods Chemiluminescence detection were used to test the serum cortisol levels of pregnancy- induced hypertension syndrome patients, All the neonatal were evaluated in the outcome by measuring their head circumference,length and weight,Apgar score, stillbirth, premature delivery, Intrauterine growth retardation, neonatal asphyxiax.To research the effect of the serum cortisol level of pregnancy induced hypertension syndrome patients on the prognosis of the perineonate. Results Cortisol level of the pregnancy- induced hypertension syndrom is higher,the higher is the morbidities of Intrauterine growth retardation,the morbidities of mortality, the morbidities of premature delivery and the morbidities of neonatal asphyxia. Cortisol level of the pregnancy- induced hypertension syndrom is higher. Conclusion As the pregnancy- induced hypertension syndrom degree aggravating, the serum cortisol levels increase; By early detection of pregnant women＇serum cortisol levels, It can provide clinical guidance on early detection of pregnancy- induced hypertension syndrom and Clinical stage. Serum cortisol level is higher, the worse the perineonate＇prognosis. Early detection of pregnant women＇serum cortisol levels can provide certain assessment on perineonate＇prognosis.we should attach importance to effect serum cortisol level on pregnancy- induced hypertension syndrom and perineonate＇prognosis, by early detection and early treatment,we can efforts to improve perineonate＇prognosis.

关 键 词：妊娠高血压综合征 皮质醇 围生儿 胎儿生长受限 预后 

分 类 号：R714.246[医药卫生—妇产科学]