妊娠期高血压病170例临床研究

Clinical analysis of 170 patients with gestational hypertension disease

目的:分析妊娠期高血压病的相关高危因素及其并发症与母婴预后的关系。方法:回顾性分析2003年1月～2007年12月分娩的170例妊娠期高血压病产妇的资料。结果:妊娠期高血压病发病比例农村高于城市;文化程度低、未行系统产前检查的孕妇发病率增加;冬春季节、低血钙与妊娠期高血压病的发病有明显的相关性;子痫前期重度及子痫组其围生儿发病率及病死率高。结论:加强孕期保健,防治妊娠期高血压疾病并发症,适时终止妊娠是降低孕产妇、围生儿病死率的关键。

Objective： To analyze the correlated high risk factors of gestational hypertension disease and complications and their relations to maternal-fetal prognosis. Methods： To analyze the data of 170 patients with gestational hypertension from Jan. 2003 to Dec. 2007 hospitalized in our hospital, retrospectively. Results： The incidence of gestational hypertension was higher in rural area than that in countryside; pregnant women, who were less educated and no successive antenatal examination, had increased incidence; winter and spring season and hypocalcemia were correlated to the incidence of gestational hypertension; The incidence and case fatality were higher in perinatal infants whose mother with eclampsism and severe eclamptism. Conclusions ： The key of lowering case fatality in pregnant women and perinatal infants is to enhance antenatal care, to prevent and cure gestational hypertension and do timely termination of pregnancy.