妊娠期高血压疾病对母儿的影响及围生期处理

Discussion on the influence and treatment of hypertensive disorder complicating pregnancy

目的探讨妊娠期高血压疾病对母儿的影响及围生期处理。方法选取178例妊娠期高血压疾病患者作为观察组，同时抽取同期分娩的血压正常且蛋白尿阴性患者178例作为对照组，对两组临床资料进行对比研究。结果观察组与对照组的FGR各25例和1例，两组比较差异有统计学意义（P〈0．01）。重度子痫前期的新生儿77例中胎儿生长受限（FGR）为20例，与妊娠期高血压及轻度子痫前期比较差异有统计学意义（P〈0．01）；重度子痫前期非足月产21例，为25．33％，与上三组比较差异有统计学意义（P〈0．01）；胎龄≥37周存活率为100％，与上三组比较差异有统计学意义（P〈0．01）。结论妊娠期高血压疾病尤其重度子痫前期，严重影响母婴健康；妊娠期高血压疾病发生后应积极有效地预防向重度子痫前期的转化，防止母儿并发症的发生。

Objective To iavestigate the influence and treatment of hypertensive disorder complicating pregnancy（HDCP）. Methods 178 HDCP cases are selected as observation group,and 178 normal patients as comparison group. Results Fetal growth restriction was 25 cases in disease group and 1 case in normal group（P 〈 0.01） ;20 cases are fetal growth restriction in 77 cases with severity pre-eclampsia,which had notability discrepancy compared with mild pre-eclampsia（ P 〈 0.01 ）. Premature delivery was 21 cases（25.33 % ） in severity pre-eclampsia, which had significant diffcrence. When compared with the rest three groops（P 〈 0.01）. When fetal age is equal to or above 37 weeks,the livability reached to 100 % （P 〈 0.0! ）. Conclusion We should prevent transformation actively, avoid pre-eclampsia and complication to severe pre〈clampsia of mother and baby.