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目的对不同类型的妊娠期高血压疾病(hypertensive disorder complicating pregnancy,HDCP)患者的发病情况、治疗方法及母婴结局进行分析和探讨。方法对2009年6月-2011年3月收治的216例HDCP患者进行回顾性分析。结果 216例患者中,重度子痫前期病例最多,占57.41%;不同病情严重程度组别间年龄、孕妇居住地(城市或农村)、有/无定期产前检查存在相关性;随着病情严重程度不同,期待治疗时间比较差异有统计学意义;重度子痫前期和子痫组比轻度子痫前期组的早产儿、死胎与胎儿宫内发育迟缓(FGR)的发生率高,差异有统计学意义(P<0.01)。结论妊娠期高血压疾病潜在危害大,早认识、早发现和早就诊是预防关键。严格选择病例,期待治疗过程中严密监测母体胎儿病情变化适时手术,是保证母婴安全的有效手段。
Objective To analyze and discuss the incidence, treatment and maternal-infant outcomes of different types of hypertensive disorder complicating pregnancy (HDCP). Methods A total of 216 patients with HDCP admitted from June 2009 to March 2011 were retrospectively analyzed. Results Of the 216 patients, 57.41% of the patients had severe preeclampsia, and there was a correlation between the age, the place of residence of pregnant women (urban or rural) and the prenatal and / or prenatal examination in different severity groups. With the serious condition The degree of difference, looking forward to the treatment time difference was statistically significant; severe preeclampsia and eclampsia than mild preeclampsia preterm children, stillbirth and intrauterine growth retardation (FGR) the incidence of higher, the difference was statistically significant Significance (P <0.01). Conclusions The potential risk of hypertensive disorders in pregnancy is large. Early recognition, early detection and early diagnosis are the key to prevention. Strict selection of cases, looking forward to the process of monitoring the changes in maternal fetal conditions timely surgery, is an effective means to ensure the safety of mother and child.