剖宫产术对妊娠高血压综合征患者的预后分析

Prognostic Analysis on Hypertension Syndrome with U-D

目的探讨剖宫术在临床治疗妊娠高血压综合征(妊高征)患者中安全性及效果。方法采用前瞻性流行病学方法进行回顾性分析。结果妊高征患者剖宫产终止。妊娠率为43.75%,其中重度妊高征患者剖宫产率为97.37%。孕产妇病死率为0.64%,围生儿病死率为1.83%。剖宫产术后1周、术后42 d和术后2年血压仍高于正常者,分别为18.58%、7.69%和1.92%,产褥病死亡率为0.64%。结论经解痉等积极治疗与适时终止妊娠,是减少母婴并发症、降低围产期病死率、提高生活质量的关键,对于重度妊高征患者,以剖宫产方式终止妊娠为宜。

Objective To discuss the safety and curative effect of hypertension syndrome with U - D. Methods The epidemiology investigation was performed retrospectively. Results The U - D stopped pregnancy with hypertension. The pregrmncy rate was 43.75 %. the U - D rate of severe hypertension syndrome was 97.37 %. The mortality of pregrmncy patient was 0.64% and neonate was 1.83 %. The hypertension was higher than that of normal at 1 week, 7 weeks and 2 years with rate 18.58%, 7.69% and 1.92%, the mortality of puerperalism is 0.64%. Conclusion The active motion and U - D should be performed to decrease complication and mortality of mother and children, improve the life quality especially for patient with HS.