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目的分析妊娠合并特发性室性心律失常的临床特征,探讨其对母婴的影响。方法回顾性分析浙江大学医学院附属妇产科医院110例妊娠合并特发性室性心律失常(IVA)患者和110例同期门诊产检并住院生产的正常孕产妇的临床资料。结果妊娠合并IVA组患者QTc、QTd较正常对照组孕产妇显著增加(P均<0.01)。通过保健处理,IVA组患者在孕晚期室性心律失常发生率下降(P<0.05),足月生产率为88.18%;IVA组行剖宫产率(65.45%)明显增高(P<0.01)。新生儿窒息为2.73%,低体质量儿占3.6%。结论通过妊娠期保健处理,IVA患者能妊娠至足月,对新生儿无明显影响。
Objective To analyze the clinical features of idiopathic ventricular arrhythmia in pregnancy and its effects on mother and infant. Methods The clinical data of 110 pregnant women with idiopathic ventricular arrhythmia (IVA) and 110 pregnant women who were hospitalized and produced in the same period were analyzed retrospectively in the Affiliated Obstetrics and Gynecology Hospital of Zhejiang University Medical College. Results The QTc and QTd of pregnant women with IVA were significantly higher than those of normal pregnant women (all P <0.01). The incidence of ventricular arrhythmia in IVA group was lower than that in IVA group (88.18%). The cesarean section rate (65.45%) in IVA group was significantly higher than that in IVA group (P <0.01). Neonatal asphyxia was 2.73%, low birth weight accounted for 3.6%. Conclusion Through gestational health care treatment, IVA patients can have gestational to term, and have no significant effect on newborns.