妊娠合并心脏病患者不同心功能状态对母亲和围生儿的影响

Effect of cardiac function in pregnancy with heart disease on maternal and perinatal complications

目的：探讨妊娠合并心脏病患者不同心功能状态对母亲和围生儿的影响。方法：对22例妊娠合并心脏病患者临床资料进行回顾性分析。结果：心功能Ⅰ-Ⅱ级者妊娠结局良好，心功能Ⅲ-Ⅳ级者剖宫产率增加，新生儿早产率、孕妇心衰发生率明显增高。结论：妊娠合并心脏病母婴预后与心功能状态密切相关，心功能Ⅰ-Ⅱ级者可以在密切监护下经阴道分娩，心功能Ⅲ-Ⅳ级者要加强监测，定期产前检查，及时终止妊娠，改善母儿预后。

Objective：To investigate the influence of cardiac function in pregnancy complicated with heart disease on maternal and perinatal complications. Methods： Retrospective study was carried out in 22 cases of pregnancy complicated with heart disease. Results： The outcome of pregnancy with cardiac function degree Ⅰ to Ⅱ was normally good. while the outcome of pregnancy with cardiac function degree Ⅲ to Ⅳ was bad. The latter had a higher incidence rate of cesarean section, premature delivery and heart failure. Conclnsions ： Mother-fetal outcome is highly related to the cardiac function. Under intensive monitor, vaginal delivery can be selected for the pregnant with heart function degree Ⅰ to Ⅱ. For the cases with cardiac function degree Ⅲ to Ⅳ, prenatal consultation, systematic prenatal care and ending the pregnancy in time can improve the outcome of both mothers and fetus.