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目的探讨妊娠期高血压疾病终止妊娠时机及分娩方式。方法回顾性分析我院2001年2月至2011年6月106例住院分娩的妊娠期高血压疾病患者,观察产后出血及新生儿窒息率。结果 18经阴道分娩,88例剖宫产,剖宫产率83%;产后出血发生率阴道产者5.56%,剖宫产6.82%(P>0.05);新生儿窒息发生率阴道产者27.78%,剖宫产者10.23%(P<0.05)。结论妊娠期高血压疾病的终止妊娠时间及分娩方式的选择应视孕周、病情进展、胎儿成熟及药物治疗的效果等情况综合而定。
Objective To investigate the timing of termination of pregnancy and delivery mode of hypertensive disorder complicating pregnancy. Methods A retrospective analysis of our hospital from February 2001 to June 2011 106 cases of gestational hypertension in hospitalized patients with postpartum hemorrhage and neonatal asphyxia. Results 18 vaginal delivery, 88 cases of cesarean section, cesarean section rate of 83%; postpartum hemorrhage incidence of vaginal birth 5.56%, cesarean section 6.82% (P> 0.05); neonatal asphyxia incidence vaginal birth 27.78% , 10.23% of cesarean section (P <0.05). Conclusions The timing of termination of pregnancy and the mode of delivery during pregnancy-induced hypertension should be considered in terms of gestational age, progression of the disease, fetal maturity and effects of drug treatment.