不同类型妊娠期高血压疾病对妊娠结局的影响  

Effect of different types of hypertensive disorder complicating pregnancy on pregnancy outcome

作　　者：杨艳华[1] 吴军[1] 黄银娥[2] YANG Yan-hua;WU Jun;HUANG Yin-e(Department of Obstetrics and Gynecology,Tianmen First People’s Hospital,Tianmen Hubei 431700,China;Clinical Laborator,Tianmen First People’s Hospital,Tianmen Hubei 431700,China)

机构地区：[1]湖北省天门市第一人民医院妇产科,431700 [2]湖北省天门市第一人民医院检验科,431700

出　　处：《蚌埠医学院学报》2020年第3期363-366,共4页Journal of Bengbu Medical College

摘　　要：目的:探讨不同类型妊娠期高血压疾病(DHCP)对妊娠结局的影响。方法:采用简单抽样法,选取合并不同类型DHCP孕妇168例为观察组,随机选取同时期的正常孕妇168例为对照组,详细记录、统计并分析产妇、胎儿及新生儿的不良结局。结果:观察组围产妇不良结局总发生率为48.81%,对照组3.57%。2组产妇除妊娠期高血压心脏病并发症发生率差异无统计学意义(P>0.05)外,观察组产妇胎盘早剥等并发症发生率均高于对照组(P<0.05~P<0.01),观察组产妇合并2种并发症发生率高于对照组(P<0.01),而2组产妇合并3种并发症发生率差异无统计学意义(P>0.05)。观察组胎儿不良结局总发生率为58.42%,对照组为6.90%。观察组胎儿死亡、宫内窘迫、胎儿生长受限发生率均高于对照组(P<0.05~P<0.01),观察组胎儿合并2种并发症发生率高于对照组(P<0.01),而2组胎儿合并3种并发症发生率差异无统计学意义(P>0.05)。观察组围新生儿不良结局总发生率为46.55%,对照组为4.93%。观察组新生儿窒息、小于胎龄儿发生率均高于对照组(P<0.01),观察组新生儿合并2种并发症发生率高于对照组(P<0.01),而2组新生儿死亡及合并3种并发症发生率差异无统计学意义(P>0.05)。妊娠期高血压、子痫前期、子痫、妊娠合并慢性高血压和慢性高血压并发子痫前期围产妇胎盘早剥、胎儿死亡、新生儿死亡等不良结局发生率差异均无统计学意义(P>0.05)。结论:DHCP严重影响围产妇母婴预后,且随着疾病进程的发展,影响逐渐增加。临床应加强筛查,尽早发现和干预,改善母婴预后质量。Objective:To explore the effects of different types of hypertensive disorder complicating pregnancy(HDCP)on pregnancy outcome.Methods:One hundred and sixty-eight pregnant women with different types of HDCP were selected using simple sampling,and set as the observation group.One hundred and sixty-eight normal pregnant women in the same period were set as the control group.The adverse outcomes of pregnant womanl,fetus and neonate were recorded,counted and analyzed in two groups.Results:The total incidence rates of adverse outcomes in perinatal stage in observation group and control group were 48.81%and 3.57%,respectively.Except for the HDCP,the difference of the incidence rate of other complications between two groups was not statistically significant(P>0.05).The incidence rate of placenta abruption complications in observation group was higher than that in control group(P<0.05 to P<0.01).The incidence rate of two kinds of complications in observation group was higher than that in control group(P<0.01),and the difference of the incidence rate of three kinds of complications between two groups was not statistically significant(P>0.05).The incidence rate of adverse outcomes of fetuses in observation group and control group were 58.42%and 6.90%,respectively.The incidence rates of fetal death,fetal distress and fetal growth restriction of fetus in observation group were higher than those in control group(P<0.05 to P<0.01).The incidence rate of two kinds of complications in fetuses of observation group was higher than that in control group(P<0.01),and the difference of the incidence rate of three kinds of complications in fetuses between two groups was not statistically significant(P>0.05).The incidence rate of neonatal adverse outcomes during perinatal period in observation group and control group were 46.55%and 4.93%,respectively.The incidence rates of the neonatal asphyxia and SGA in observation group were higher than those in control group(P<0.01).The incidence rate of two kinds of complications in neonates in obser

关 键 词：妊娠期高血压疾病 子痫前期 子痫 妊娠结局 

分 类 号：R714.246[医药卫生—妇产科学]