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目的分析不同类型妊娠期高血压疾病(GHD)的相关危险因素及其与妊娠结局的关系。方法 GHD患者232例分为高血压病并发子痫前期(A组,29例)、妊娠期高血压(B组,82例)、轻度子痫前期(C组,31例)和重度子痫前期(D组,90例,其中产前子痫4例)。回顾性分析四组GHD相关危险因素及其与妊娠结局的关系。结果四组平均妊娠数、年龄、高龄产妇、初产妇及未产检率差异均有统计学意义(P<0.05)。四组剖宫产、产后出血、早产孕妇及合并妊娠期糖尿病率差异亦有统计学意义(P<0.05)。四组胎儿胎死宫内、新生儿窒息、新生儿死亡及足月小样儿发生率差异均有统计学意义(P<0.05)。结论未行正规产前检查的低龄初孕妇与子痫的发生密切相关。GHD中,子痫、重度子痫前期和高血压病并发子痫前期孕产妇及围生儿并发症发生率高。
Objective To analyze the related risk factors of different types of gestational hypertension (GHD) and its relationship with pregnancy outcome. Methods A total of 232 patients with GHD were divided into two groups: hypertension (preeclampsia group A, n = 29), gestational hypertension (n = 82), mild preeclampsia (n = 31) and severe eclampsia Pre-stage (D group, 90 cases, including prenatal eclampsia in 4 cases). Retrospective analysis of four groups of risk factors associated with GHD and its relationship with pregnancy outcomes. Results The average number of pregnancies, age, older mothers, primipara and unproductive rate in the four groups were statistically significant (P <0.05). Four groups of cesarean section, postpartum hemorrhage, premature pregnant women and gestational diabetes mellitus were also significantly different (P <0.05). There were significant differences in the incidence of fetal death, neonatal asphyxia, neonatal death and full-term infant in the four groups (P <0.05). Conclusion The young pregnant women who did not undergo regular prenatal examination are closely related to the occurrence of eclampsia. GHD, eclampsia, severe preeclampsia and hypertension complicated by preeclampsia and perinatal complications of maternal high incidence.