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目的探讨母妊娠合并室间隔缺损的新生儿生后健康状况。方法回顾性分析近十年北京地区某三甲医院87例母亲为妊娠合并室间隔缺损的新生儿的临床资料。分别将母心功能Ⅲ、Ⅳ级的室间隔缺损产妇的新生儿与母心功能Ⅰ、Ⅱ级的新生儿进行比较;将母亲孕前未进行室间隔缺损修补手术与进行过修补手术产妇的新生儿进行比较。结果心功能Ⅲ、Ⅳ级产妇的新生儿窒息、早产儿、低出生体重儿、极低出生体重儿、小于胎龄儿的发生率高于心功能Ⅰ、Ⅱ级产妇的新生儿,有统计学差异;孕前进行过室间隔缺损修补术的产妇小于胎龄儿的发生率低于孕前未进行室间隔缺损修补术产妇,有统计学差异。结论心功能Ⅲ-Ⅳ的产妇新生儿窒息和早产、低出生体重儿、极低出生体重儿、小于胎龄儿的发生率较高;孕前接受室间隔缺损修补术的产妇较未手术产妇,小于胎龄儿的发生率明显降低。
Objective To investigate the postnatal health of neonates with maternal pregnancy complicated with ventricular septal defect. Methods The clinical data of 87 newborns with pregnancy-associated ventricular septal defect in 87 senior mothers in a top-tier hospital in Beijing in recent decade were retrospectively analyzed. Neonates of female with ventricular septal defect with Ⅲ, Ⅳ grade of heart function were compared with those of newborn with heart function of class Ⅰ and Ⅱ respectively. Neonates without maternal ventricular septal defect repair Compare. Results The level of neonatal asphyxia, preterm infants, low birth weight infants, low birth weight infants and small infants less than gestational age were higher than those of grade Ⅰ and Ⅱ maternal heart function patients with grade Ⅲ and Ⅳ heart function. There were statistically significant Differences; pre-pregnancy ventricular septal defect repair maternal less than gestational age less than the incidence of pre-pregnancy did not carry out ventricular septal defect repair maternal, with statistical differences. Conclusions The incidence of neonatal asphyxia and premature delivery, low birth weight infants, very low birth weight infants and those less than gestational age are higher in patients with cardiac function Ⅲ-Ⅳ. The pregnant women who received ventricular septal defect repair before pregnancy are less than The incidence of gestational age was significantly reduced.