妊娠期高血压疾病对高龄产妇妊娠结局的影响

Analysis of the Effect of Hypertensive Disorder During Pregnancy on Pregnancy Outcomes in Older Women

目的分析妊娠期高血压疾病对高龄产妇妊娠结局的影响。方法选择浙江省兰溪市妇幼保健计划生育服务中心2017年12月—2019年12月收治的150例存在妊娠期高血压疾病的高龄产妇患者作为研究对象(设为研究组),另选择同期收治的100例存在妊娠期高血压疾病的非高龄产妇患者作为参照对象(设为对照组),比较两组患者妊娠期并发症发生率、剖宫产率、产后出血量及围生儿不良结局发生率。结果研究组患者妊娠期并发症发生率(20.67%)、剖宫产率(69.33%)及产后出血量(80.24±2.17)ml均显著高于对照组(7.00%)、(17.00%)、(80.24±2.17)ml,研究组围生儿不良结局发生率(18.67%)显著高于对照组(6.00%),比较差异有统计学意义(P<0.05)。结论高龄产妇并发妊娠期高血压疾病会对母婴妊娠结局造成较多的不良影响,因此,就需要临床及时采用有效方案对存在妊娠期高血压疾病的高龄产妇进行治疗或及时终止妊娠,才能保障母婴安全。

Objective To analyze the effect of hypertensive disorder complicating pregnancy on pregnancy outcome of elderly parturients.Methods From December 2017 to December 2019,150 elderly parturients with hypertensive disorder complicating pregnancy were selected as the study group,and 100 non-elderly parturients with hypertensive disorder complicating pregnancy were selected as the reference objects(the control group).The incidence of complications during pregnancy and the rate of cesarean section were compared between the two groups.The amount of postpartum hemorrhage and the incidence of adverse outcomes in parturients.Results The incidence of complications during pregnancy(20.67%),cesarean section rate(6933%)and postpartum bleeding volume(80.24±2.17)ml in the study group were significantly higher than those in the control group(7.00%),(17.00%),(80.24±2.17)ml,and the incidence of adverse outcomes in the study group(18.67%)was significantly higher than that in the control group(6.00%).Conclusion The elderly parturients complicated with pregnancy hypertension will have more adverse effects on the pregnancy outcome of mother and infant.Therefore,it is necessary to adopt effective clinical programs to treat the elderly parturients with gestational hypertension in time or terminate the pregnancy in time in order to ensure the safety of mother and child.