不同心功能分级对妊娠合并心脏疾病患者新生儿及妊娠结局的影响  

Effects of Different Cardiac Function Classifications on Neonatal and Pregnancy Outcomes in Pregnant Patients with Heart Disease

作　　者：李杜娟 马晓惠 胡清 LI Du-juan;MA Xiao-hui;HU Qing(Department of Obstetrics and Gynecology,Xuchang People's Hospital,Xuchang 461000,China)

机构地区：[1]许昌市人民医院妇产科,许昌461000

出　　处：《四川解剖学杂志》2024年第2期40-42,共3页Sichuan Journal of Anatomy

摘　　要：目的:探讨不同心功能分级对妊娠合并心脏疾病患者新生儿及妊娠结局的影响.方法:选取2017年3月至2020年3月本院收治的118例妊娠合并心脏疾病患者作为研究对象.按心功能分级情况将其分为A组(n=92,心功能Ⅰ~Ⅱ级者)和B组(n=26,心功能Ⅲ~Ⅳ级者).比较两组患者分娩孕龄、新生儿情况(新生儿体重及新生儿评分)、终止妊娠方式及妊娠结局.结果:A组孕龄、新生儿体重及新生儿评分均优于B组,差异均有统计学意义(P<0.05).两组患者剖宫产率比较,差异无统计学意义(P>0.05);A组阴道分娩率高于B组,治疗性引产率低于B组,差异均有统计学意义(P<0.05).A组围生儿死亡、早产、小于胎龄儿发生率均明显低于B组,差异均有统计学意义(P<0.05).结论:妊娠合并心脏疾病患者的心功能变化与妊娠结局紧密相关,临床应加大产检的频率,增强母婴监护,以便有效改善心功能及妊娠结局,保障孕妇和新生儿的安全.Objective:To explore the impact of different cardiac function classifications on neonatal and pregnancy outcomes in pregnant patients with heart disease.Methods:A total of 118 cases of pregnant patients with heart disease in our hospital from March 2017 to March 2020 were selected as the research subjects in this study.They were divided into group A(n=92,heart function gradesⅠ-Ⅱ)and group B(n=26,heart function gradesⅢ-Ⅳ)based on their cardiac function classification.The cardiac function was counted,and the gestational age of delivery,neonatal conditions(including neonatal weight and neonatal score),pregnancy termination methods and pregnancy outcomes were compared between the two groups.Results:Gestational age,neonatal weight and neonatal score in group A were better than those in group B,and the differences were statistically significant(P<0.05).There was no significant difference in the cesarean section rate between the two groups(P>0.05).The vaginal delivery rate in group A was higher than that of group B,and the therapeutic induction rate in group A was lower than that of group B,and the differences were statistically significant(P<0.05).The incidence rates of perinatal death,premature birth,and infants small for gestational age in group A were lower than those in group B,and the differences were statistically significant(P<0.05).Conclusion:Changes in cardiac function in pregnant patients with heart disease are closely related to pregnancy outcomes,clinicians should increase the frequency of prenatal check-ups and strengthen maternal and infant monitoring in order to effectively improve cardiac function and pregnancy outcomes,and ensure the safety of pregnant women and newborns.

关 键 词：妊娠合并心脏疾病 妊娠结局 心功能变化 新生儿体重 

分 类 号：R714[医药卫生—妇产科学]