妊娠合并慢性高血压患者的胎儿心电图分析  

Analysis of fetal electrocardiogram in pregnant with chronic hypertension

作　　者：黄丹丹 刘佩晓 廖基兴 徐淑婷 

机构地区：[1]深圳市龙岗区妇幼保健院(汕头大学医学院龙岗妇幼临床学院)内科,广东深圳518104

出　　处：《中国产前诊断杂志(电子版)》2025年第1期38-43,共6页Chinese Journal of Prenatal Diagnosis(Electronic Version)

基　　金：深圳市龙岗区科技创新专项资金项目(LGWJ2022-58)。

摘　　要：目的分析妊娠合并慢性高血压患者的胎儿心电图特征,为围产期监测提供依据。方法以2024年1月至2024年12月在汕头大学医学院龙岗妇幼临床学院产检的妇女作为研究对象,采用回顾性分析研究方法,收集无高血压疾病的孕妇103例为对照组、同时纳入妊娠合并慢性高血压患者103例作为疾病组,对两组孕妇中晚孕期间的胎儿心电图记录展开分析,并对胎儿心律失常病例进行跟踪随访,记录其病情演变及转归。结果研究数据显示:疾病组的胎儿心电图异常发生率7.76%,显著高于对照组0.97%,组间差异具有统计学意义。结论证实妊娠合并慢性高血压的孕妇,其胎儿心律失常发生率高于无高血压疾病的孕妇,这一成果对临床早期识别高危儿、及时采取有效干预措施、改善母婴结局具有指导意义。Objective To analyze the fetal electrocardiogram of pregnant women with chronic hypertension.Methods Women who underwent prenatal examinations in Longgang District,Shenzhen from January 2024 to December 2024 were selected as the research subjects.A retrospective analysis research method was adopted.A total of 103 pregnant women without hypertensive diseases were collected as the control group,and 103 pregnant women with chronic hypertension during pregnancy were taken as the disease group.The fetal electrocardiogram records of the two groups of pregnant women were analyzed,and the outcomes of the cases of fetal arrhythmia were followed up.Results The incidence of abnormal fetal electrocardiogram in the disease group 7.76%was higher than that in the control group 0.97%.Conclusion Pregnant women with chronic hypertension during pregnancy have a higher incidence of fetal arrhythmia compared with pregnant women without hypertensive diseases.

关 键 词：妊娠 高血压 子痫前期 胎儿 心律失常 胎儿心电图 

分 类 号：R544.1[医药卫生—心血管疾病] R714.2[医药卫生—内科学]