论文部分内容阅读
目的:探讨妊娠期高血压及其并发症与母婴结局的相关性。方法:选取2013年5月-2015年5月我院妇产科收治的240例孕产妇,按疾病情况不同分为妊娠期高血压组(80例),轻度子痫前期组(80例),重度子痫前期组(80例),对比3组孕产妇的并发症发生率、母婴结局。结果:妊娠期高血压组并发症发生率0.0%明显低于轻度子痫前期组11.3%和重度子痫前期组35.0%(P<0.05);孕产妇妊娠结局比较:妊娠期高血压组子宫切除率、胎盘早剥率、产后出血率、早产率均显著低于轻度子痫前期组、重度子痫前期组(P<0.05),同时,轻度子痫前期组显著低于重度子痫前期组,差异具有统计学意义(P<0.05);围产儿结局比较:妊娠期高血压组胎儿窘迫率、新生儿窒息率、胎儿生长受阻(FGR)、新生儿死亡率均显著低于轻度子痫前期组、重度子痫前期组(P<0.05);同时轻度子痫前期组均显著低于重度子痫前期组(P<0.05)。结论:妊娠高血压可增加孕产妇并发症发生率,影响母婴结局,早诊断、早发现、早处理是改善母婴结局的关键。
Objective: To investigate the relationship between gestational hypertension and its complications and maternal and infant outcomes. Methods: A total of 240 pregnant women admitted to our department from May 2013 to May 2015 were divided into gestational hypertension (80 cases), mild preeclampsia (80 cases) , Severe preeclampsia group (80 cases), comparisons of the incidence of maternal complications in three groups, maternal and infant outcomes. Results: The incidence of complications in gestational hypertension group was significantly lower than that in mild preeclampsia group (11.3%) and severe preeclampsia group (35.0%, P <0.05). Pregnancy outcome in gestational hypertension group (P <0.05). In addition, the rates of resection, placental abruption rate, postpartum hemorrhage rate and premature delivery rate were significantly lower than those in mild preeclampsia group and severe preeclampsia group (P <0.05) (P <0.05). Comparison of perinatal outcomes: fetal distress rate, neonatal asphyxia, fetal growth retardation (FGR) and neonatal mortality in gestational hypertension group were significantly lower than those in mild Preeclampsia group and severe preeclampsia group (P <0.05), while those in mild preeclampsia group were significantly lower than those in severe preeclampsia group (P <0.05). Conclusion: Pregnancy-induced hypertension can increase the incidence of maternal complications and affect maternal and infant outcomes. Early diagnosis, early detection and early treatment are the keys to improve maternal and infant outcomes.