| 摘要: |
| ［摘要］ 目的 分析妊娠期高血压病不同严重程度对分娩结局的影响。方法 选取2016-02～2017-01诊治为妊娠期高血压病患者150例临床资料行回顾性分析，根据患者病情严重程度分为妊娠期高血压（轻度组）71例、轻度子痫前期（中度组）41例、重度子痫前期（重度组）38例，比较三组不良妊娠结局发生率。结果 三组产妇年龄比较差异无统计学意义（P>0.05）；轻度组、中度组、重度组孕周和新生儿体重依次下降（P<0.05），宫内窘迫、新生儿窒息、宫内生长受限发生率依次升高（P<0.05），胎盘早剥、产后出血发生率依次升高。轻度组心力衰竭发生率显著低于重度组（P<0.05）。结论 妊娠期高血压病患者随着病情加重，胎儿、新生儿、产妇不良妊娠结局发生率逐渐升高。 |
| 关键词: 妊娠期高血压病 分娩结局 严重程度 |
| DOI：10.3969/j.issn.1674-3806.2018.05.04 |
| 分类号:R 714 |
| 基金项目:佛山市卫计局医学科研课题（编号：20160058） |
|
| Effects of different degrees of gestational hypertension on delivery outcomes |
|
XU Zhi-li, FENG Min-qing, LIU Dan, et al.
|
|
Department of Women′s Health Care, Women and Children Health Care Hospital of Foshan City, Guangdong 528000, China
|
| Abstract: |
| ［Abstract］ Objective To investigate the effects of different degrees of gestational hypertension on delivery outcomes.Methods The data of 150 patients with different degrees of gestational hypertension in our hospital during February 2016 and January 2017 were retrospectively analyzed. The patients were divided into three groups according to the different degrees of gestational hypertension: mild group(with gestational hypertension, n=71), moderate group(with mild preeclampsia, n=41) and severe group(with severe preeclampsia, n=38). The rates of adverse pregnancy outcomes were compared among the three groups.Results There was no significant difference in maternal age among the three groups(P>0.05). The gestational age and newborn weight decreased and the incidence rates of intrauterine distress, neonatal asphyxia and intrauterine growth restriction increased in the mild group, the moderate group and the severe group in accordance with the severity of gestational hypertension(P<0.05). The incidence rates of placental abruption increased in the three groups in accordance with the severity of gestational hypertension(P<0.05). The incidence of heart failure in the mild group was significantly lower than that in the severe group(P<0.05).Conclusion The adverse outcomes of the fetuses, newborns and parturient women increase with the severity of gestational hypertension. |
| Key words: Gestational hypertension Delivery outcomes Severity |
