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目的探讨妊娠合并心脏病影响母儿预后的有关因素及防治措施。方法回顾分析1995年1月至2004年12月妊娠合并心脏病172例。结果心功能Ⅲ～Ⅳ级与Ⅰ～Ⅱ级患者的妊娠孕周及新生儿平均体质量比较,差异有统计学意义(P<0.05或P<0.01),围生儿患病率和病死率明显增多。妊娠前心脏手术患者心功能多为Ⅰ～Ⅱ级,与未手术的比较差异有统计学意义,(P<0.05)。结论显示心功能越差导致胎儿不良结局的发生率越高,孕周及新生儿平均体质量随心功能升级而下降,加强妊娠合并心脏病孕产妇的监护,选择正确的方式终止妊娠,可获得良好的结局。
Objective To explore the factors that affect the prognosis of pregnant women and children during pregnancy complicating heart disease and the preventive measures. Methods A retrospective analysis of January 1995 to December 2004 in 172 cases of heart disease complicated by pregnancy. Results There were significant differences in gestational gestational age and newborn average body mass between patients with grade Ⅲ ~ Ⅳ and grade Ⅰ ~ Ⅱ (P <0.05 or P <0.01), and the prevalence and mortality of perinatal children were significantly higher increase. Cardiac function before cardiac surgery in patients with mostly multi-class Ⅰ ~ Ⅱ level, compared with no surgery was statistically significant (P <0.05). The results showed that the worse heart function lead to higher incidence of fetal adverse outcomes, gestational age and newborn average body mass decline with the escalation of cardiac function, strengthen pregnancy with heart disease pregnant women care, select the correct way to terminate the pregnancy, get good The outcome.