支气管哮喘合并妊娠98例临床分析

CLINICAL ANALYSIS OF 98 CASES OF ASTHMA IN PREGNANCY

目的评估支气管哮喘与妊娠的相互影响。方法回顾分析１９８４～１９９６年在我院分娩的９８例支气管哮喘合并妊娠患者的临床资料。结果孕前哮喘发作≥３次／ａ者孕期哮喘发作次数增加；孕期哮喘发作频繁者新生儿平均体重低，小于胎龄儿发生率高。产（术）时及产（术）后预防性应用糖皮质激素则产后哮喘发作概率减少。结论孕前应积极控制哮喘发作；建议产（术）时及产（术）后预防性应用糖皮质激素。

おURPOSE To estimate the interactions between asthma and pregnancy. METHODS Ninetyeight cases of asthma in pregnancy were reviewed.RESULTS Patients with more than 3 times of asthma attacks per year before pregnancy increased attacks during pregnancy. Prophylactic use of glucocorticoid during (after) labour(operation) could reduce attacks after delivery. The neonates from those with frequent attacks during pregnancy had lower average birth weight and higher incidence of small for gestational age.CONCLUSIONS Patients should be actively controlled to reduce asthma attacks before pregnancy and prophylactic use of glucocorticoid during (after) labour(operation) is advised.