妊娠晚期高龄孕产妇异常心电图对妊娠结局的影响  

The Effect of Abnormal Electrocardiogram on Pregnancy Outcome in Late Pregnancy of Elderly Parturient woman

作　　者：程巾凤 张瑞丽 许丽娟 Cheng Jinfeng;Zhang Ruili;Xu Lijuan(ECG room of Zhengzhou maternal and child health hospital,Henan 473000;Department of Obstetrics and Gynecology,Qinling Road,Zhengzhou maternal and child health hospital,Henan 473000)

机构地区：[1]郑州市妇幼保健院心电图室,河南郑州473000 [2]郑州市妇幼保健院秦岭路院区产六科,河南郑州473000

出　　处：《哈尔滨医药》2025年第1期25-27,共3页Harbin Medical Journal

摘　　要：目的研究妊娠晚期高龄孕产妇异常心电图对妊娠结局的影响。方法选取实施产检和分娩的86例妊娠晚期高龄孕产妇为实验组,另按照1∶1比例选取同期实施产检和分娩的妊娠晚期适龄孕产妇为正常组。全部孕妇均接受心电图检查,对比两组异常心电图及心律失常类型[窦性心动过速(ST)、窦性心动过缓(SB)、窦性心律不齐(SA)、室内阻滞(IVCB)、室早、房早],并分析异常心电图对孕妇妊娠结局的影响。结果实验组正常心电图发生率较正常组低,且异常心电图发生率较正常组高(P<0.05)。实验组ST发生率、总心律失常发生率较正常组高(P<0.05)。实验组异常心电图中早产、剖宫产、低质量儿发生率较正常心电图高,且实验组异常心电图中剖宫产发生率较正常组高(P<0.05)。结论妊娠晚期高龄孕产妇的异常心电图、心律失常发生率较高,且异常心电图妊娠晚期高龄孕产妇会出现多种不良妊娠结局。Objective To study the effect of abnormal ECG on pregnancy outcome of elderly pregnant women in late pregnancy.Methods 86 cases of elderly pregnant women in late pregnancy who underwent antenatal examination and delivery were selected as the experimental group,and the appropriate age pregnant women in late pregnancy who underwent antenatal examination and delivery in the same period were selected as the normal group according to the ratio of 1∶1.All pregnant women received ECG examination,and the abnormal ECG and arrhythmia types[sinus tachycardia(ST),sinus bradycardia(SB),sinus arrhythmia(SA),ventricular block(IVCB),ventricular premature beats,atrial premature beats]of the two groups were compared,and the influence of abnormal ECG on pregnancy outcome of pregnant women was analyzed.Results The incidence of normal ECG in the experimental group was,lower than in the normal group,and the incidence of abnormal ECG in the experimental group was higher than in the normal group(P<0.05).The incidence of ST and total arrhythmia in the experimental group were respectively,higher than those in the normal group(P<0.05).The incidence of premature birth,cesarean section and low-quality infants in the abnormal electrocardiogram of the experimental group were higher than those in the normal ECG,and the incidence of cesarean section in the abnormal electrocardiogram of the experimental group was higher than that in the normal group(P<0.05).Conclusion The incidence of abnormal ECG and arrhythmia in elderly pregnant women in late pregnancy is higher,and the elderly pregnant women with abnormal ECG in late pregnancy will have a variety of adverse pregnancy outcomes.

关 键 词：妊娠晚期高龄孕产妇 异常心电图 心律失常类型 妊娠结局 

分 类 号：R271.9[医药卫生—中西医结合]