论文部分内容阅读
目的探讨妊娠期高血压疾病危险因素及其对妊娠结局的影响。方法本次观察组选取妊娠期高血压疾病患者100例,均为我院产科2012年9月至2013年9月收治,针对收集的临床资料分析危险因素,就妊娠结局与同期收治的正常晚期妊娠孕产妇100例进行比较。结果进入回归模型的因素共5个,即双胎、初中以下文化、BMI>24、早孕期未补充叶酸、基础收缩压≥120mmHg。重度子痫前期患者分娩平均孕周明显短于正常对照组及妊娠期高血压组、轻度子痫前期组,新生儿平均体重与其它组比较,也居较低水平,有统计学差异(P<0.05)。重度子痫前期组多脏器功能损害、肝功能异常、产后出血等并发症率为16.7%,高于妊娠期高血压组3%和轻度子痫前期组4%,有统计学差异(P<0.05)。结论分析妊娠期高血压疾病危险因素,加强针对性早期预防干预,积极对症治疗,可改善妊娠结局,避免不良事件发生,具有非常重要的开展价值。
Objective To investigate the risk factors of hypertensive disorder complicating pregnancy and its effect on pregnancy outcome. Methods The observation group selected 100 cases of patients with hypertensive disorders of pregnancy, all of our hospital from September 2012 to September 2013 admitted to obstetrics, Maternal 100 cases were compared. Results There were 5 factors in regression model, that is, twins, junior high school and below, BMI> 24, no folic acid added in early pregnancy, and systolic blood pressure≥120mmHg. The mean gestational age of patients with severe preeclampsia was significantly shorter than that of normal control group and gestational hypertension group, mild preeclampsia group and newborn’s average body weight were lower than other groups (P <0.05). Severe preeclampsia group multiple organ dysfunction, abnormal liver function, postpartum hemorrhage and other complications was 16.7%, higher than gestational hypertension 3% and mild preeclampsia 4%, there was a significant difference (P <0.05). Conclusion It is of great value to analyze the risk factors of hypertensive disorder complicating pregnancy, strengthen targeted early preventive intervention, treat symptomatically and actively, improve the outcome of pregnancy and avoid the occurrence of adverse events.