妊娠高血压患者心电图检查参数与胎儿心电图检查结果关联性研究  

Correlation Study on Electrocardiographic parameters of Pregnant Hypertensive Mothers and Electrocardiographic results of Fetus

作　　者：刘少芬[1] 肖帼丽 朱代华[1] Liu Shaofen;Xiao Guoli;Zhu Daihua(Department of Electrophysiology,Jiangmen Maternal and Child Health Hospital,529000,Jiangmen,Guangdong,China)

机构地区：[1]江门市妇幼保健院电生理科,广东江门529000

出　　处：《中外医药研究》2023年第21期135-137,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：2021年度江门市卫生健康局科研立项项目(编号:21A016)。

摘　　要：目的:探讨妊娠高血压的心电图检查参数与胎儿心电图检查结果的关联性。方法:选取2021年1月—2023年5月于江门市妇幼保健院分娩的妊娠高血压患者112例作为研究对象。针对所有的孕妇进行心电图检查,而针对56例孕妇进行胎儿心电图检查。观察并统计孕妇、胎儿的基本情况,分析孕妇与胎儿的心电图结果。结果:妊娠高血压孕妇心电图检查正常占比高于子痫前期与子痫孕妇,子痫前期孕妇心电图检查正常占比高于子痫孕妇,差异有统计学意义(P<0.05)。56例孕妇接受胎儿心电图检查,其中妊娠高血压30例,子痫前期重度26例。子痫前期重度孕妇异常胎儿检出率高于妊娠高血压孕妇,差异有统计学意义(P=0.002);子痫前期重度孕妇心电图显示ST段压低、QRS波幅增高占比高于妊娠高血压孕妇,差异有统计学意义(P<0.05)。结论:妊娠高血压患者的心电图结果可显示病情严重情况,通过心电图检查也可显示胎儿情况,针对子痫前期及子痫的孕妇,孕期的心电图检查及胎儿心电图检查非常重要。Objective:To investigate the correlation between electrocardiographic parameters of gestational hypertension and fetal electrocardiographic examination results.Methods:112 patients with gestational hypertension who delivered in Jiangmen Maternal and Child Health Hospital from January 2021 to May 2023 were selected as study subjects.Electrocardiograms were performed on all pregnant women,while fetal electrocardiograms were performed on 56 pregnant women.The basic conditions of pregnant women and fetuses were observed and recorded,and the Electrocardiographic results of pregnant women and fetuses were analyzed.Results:The percentage of normal Electrocardiographic examination of mother with gestational hypertension was higher than that with preeclampsia and eclampsia,and the percentage of normal electrocardiographic examination for pregnant women with preeclampsia was higher than that for pregnant women with eclampsia,and the difference was statistically significant(P<0.05).56 pregnant women underwent fetal electrocardiographic examination,of which 30 were with gestational hypertension,and 26 were with preeclampsia in severe degree.The detection rate of abnormal fetuses in pregnant women with severe preeclampsia was higher than that in pregnant women with gestational hypertension,and the difference was statistically significant(P=0.002);the percentage of pregnant women with severe preeclampsia whose electrocardiograms showed ST-segment depression and increased QRS amplitude was higher than that in pregnant women with gestational hypertension,and the difference was statistically significant(P<0.05).Conclusion:Electrocardiogram results in patients with gestational hypertension can show the severity of the condition,and the fetal condition can also be shown by electrocardiogram.For pregnant women with preeclampsia and eclampsia electrocardiographic controlling and fetal electrocardiographic controlling during pregnancy are very important.

关 键 词：妊娠高血压 心电图 胎儿 

分 类 号：R71[医药卫生—妇产科学]