无器质性心脏病孕妇妊娠晚期心肌缺血临床分析  

Clinical analysis of myocardial ischemia in pregnant women without organic heart disease in late pregnant

作　　者：邹玲 Zou Ling(Women and Children Health Care Center of Luoyang, Luoyang 471003, Chin)

机构地区：[1]河南省洛阳市妇女儿童医疗保健中心,471003

出　　处：《中国实用医刊》2018年第2期84-85,共2页Chinese Journal of Practical Medicine

摘　　要：目的 分析无器质性心脏病孕妇妊娠晚期心肌缺血与胎儿宫内缺氧及孕妇年龄的关系,对分娩过程的影响及产后转归.方法 随机选取妊娠晚期心肌缺血孕妇100例（观察组）和同期产科分娩的心电图无异常产妇100例（对照组）,两组均为初产妇,分析妊娠晚期心肌缺血是否与胎儿宫内缺氧、年龄、选择剖宫产有关.结果 妊娠晚期心肌缺血与胎儿宫内缺氧差异未见统计学意义（P〉0.05）;心肌缺血严重程度与年龄差异有统计学意义（P〈0.05）;妊娠晚期心肌缺血孕妇的剖宫产率明显高于对照组,差异有统计学意义（P〈0.05）.结论 妊娠晚期心肌缺血与胎儿宫内缺氧不相关,其分娩方式主要根据心功能来决定.Objective To analyze the relationship between myocardial ischemia in late pregnan-cy and fetal hypoxia and the age of pregnant women in in late pregnancy without organic heart disease, and the influence on the delivery process and postpartum outcome. Methods One hundred cases of pregnant women with myocardial ischemia in late pregnancy （observation group）and 100 cases of preg-nant women with no abnormal ECG during the same period of childbirth （control group）were selected, the two groups were all primiparas;whether myocardial ischemia in late pregnancy was related to fetal hy-poxia,age,cesarean section selection was analyzed. Results There was no significant difference in myo-cardial ischemia between late pregnancy and fetal hypoxia （P 〉 0. 05）;the difference between severity of myocardial ischemia and age was significantly （P 〈 0. 05）,and the rate of cesarean section in late preg-nant women with myocardial ischemia was significantly higher than that in the control group （P 〈 0. 05）. Conclusions Myocardial ischemia in late pregnancy is not related to fetal hypoxia,and the mode of de-livery is mainly determined by cardiac function in pregnant women with myocardial ischemia.

关 键 词：心肌缺血 妊娠晚期 剖宫产 胎儿宫内缺氧 

分 类 号：R714.252[医药卫生—妇产科学]