妊娠合并心脏病患者妊娠结局影响因素

Influencing factors of pregnancy outcome in patients with heart disease

目的探讨妊娠合并心脏病患者妊娠结局影响因素。方法回顾性分析在昌图县中医院妇产科住院分娩的妊娠合并心脏病患者120例的临床资料。分析不同心功能级别、不同心脏病类型患者的妊娠结局,旨为临床干预措施的制定提供依据。结果Ⅰ~Ⅱ级组自然分娩率高于Ⅲ~Ⅳ级组,剖宫产率低于Ⅲ~Ⅳ级组(P<0.05)。Ⅰ~Ⅱ级组早产儿、新生儿窒息、围产儿死亡、胎儿生长受限、出生低体重发生率均低于Ⅲ~Ⅳ级组(P<0.05)。心律失常者自然分娩率高于先天性心脏病、风湿性心脏病、高血压心脏病以及心肌病者,早产儿发生率低于其他心脏疾病类型(P<0.05)。结论妊娠合并心脏病患者心功能级别越高,母婴结局越差,其中心律失常者妊娠结局较好。

Objective To analyze the influencing factors of pregnancy outcome in patients with heart disease.Methods Clinical data of 120 pregnant women with heart disease were retrospectively analyzed in Our Hospital.The pregnancy outcomes of patients with different heart function levels and different heart disease types were analyzed,aiming to provide basis for the development of clinical intervention measures.Results ComparedⅢ-Ⅳlevel group,the natural births inⅠ-Ⅱlevel group was higher(P<0.05);and premature infants,neonatal asphyxia,perinatal mortality,fetal growth restriction,and incidence of low birth weight inⅠ-Ⅱlevel group was lower(P<0.05);the natural birth rate of arrhythmia was higher than that of congenital heart disease,rheumatic heart disease,hypertensive heart disease and cardiomyopathy;The incidence in premature infants was lower than that in other cardiac diseases(P<0.05).Conclusion The higher the cardiac function level is,the worse the maternal and infant outcomes are;of which the arrhythmia pregnancy outcomes are better.