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目的:探讨妊娠期高血压疾病的临床特点及其并发症的预防及治疗。方法:对在苍南县人民医院诊治的200例妊娠期高血压疾病患者的临床资料进行回顾性分析。结果:低蛋白血症为最多见的并发症,并且妊娠期高血压疾病组和轻度子痫前期组以此为主,其他并发症相对少见,重度子痫前期及子痫组心功能不全、产后出血、DIC、HELLP综合征发病率和其他两组比较差异有统计学意义(P<0.05)。妊娠期高血压疾病孕妇的围生儿主要出现胎儿生长受限、胎儿窘迫、新生儿轻度窒息、早产等,并且发生率均较轻度子痫前期组和重度子痫前期及子痫组低,差异有统计学意义(P<0.05)。无1例出现胎死宫内、新生儿重度窘迫、围生儿死亡。结论:对妊娠期高血压疾病充分地认识,以早发现、早治疗及预防为主,治疗为辅,可以明显降低妊娠期高血压疾病患者的并发症发生率,并使围生儿获得理想的结局,值得在临床中使用并广泛推广。
Objective: To investigate the clinical features of hypertensive disorder complicating pregnancy and the prevention and treatment of its complications. Methods: The clinical data of 200 cases of hypertensive disorder complicating pregnancy diagnosed and treated in Cangnan People’s Hospital were retrospectively analyzed. Results: Hypoalbuminemia was the most common complication, and it was mainly in gestational hypertension group and mild preeclampsia group. Other complications were relatively rare. Severe preeclampsia and eclampsia group had cardiac dysfunction, Postpartum hemorrhage, DIC, HELLP syndrome incidence and other two groups were statistically significant difference (P <0.05). Pregnant women with hypertensive disorders of pregnancy mainly due to fetal growth restriction, fetal distress, mild neonatal asphyxia, premature delivery and so on, and the incidence was lower than in mild preeclampsia group and severe preeclampsia and eclampsia group , The difference was statistically significant (P <0.05). No one case of fetal death, severe neonatal distress, perinatal death. Conclusion: The full understanding of hypertensive disorders in pregnancy, early detection, early treatment and prevention, supplemented by treatment, can significantly reduce the incidence of complications in patients with hypertensive disorders during pregnancy, and perinatal children to obtain the desired The outcome, it is worth in the clinic and widely used.