不同程度妊高征与母婴预后相关的回顾性研究

Retrospective Study About the Relationship between Deffrent Degrees of Pregnancy Induced Hypertension Syndrome(PIH) and the Prognosis of Maternal and Perinatal Infant

目的:分析不同程度妊娠期高血压综合征(妊高征)对孕产妇及围产儿预后的影响。方法:回顾性分析90例妊娠期高血压疾病的临床资科,选取同期住院分娩的正常妊娠孕妇90例作为对照,分析两组孕妇分娩方式、并发症的发生及其对围生儿的影响。结果:90例妊高征孕妇中,14例自阴道分娩,剖宫产76例,其中,自阴道分娩产时及产后再抽搐分别为8例和6例,明显高于剖宫产组。新生儿窒息、胎儿窘迫、胎盘早剥、产后出血、小于胎龄儿、围生儿死亡方面,子痫前期组高于妊娠期高血压组,妊娠期高血压组高于对照组,各组间以上指标的差别有统计学意义。结论:研究妊高征发生及发展规律,为完善相应的预防和治疗手段。

Objective：To study the relationship between deffrent degrees of PIH and the prognosis of maternal and pvrmatal infant Methods：Analyzed retrospectively the clinical data of 90 women with PIH compared with 90 normal pregnant women.Observation items：types of parturition,complications and the impact on perinatal children.Analysed the differences of items above between the two groups.Results： 14of 90 women with PIH delivered vaginally, the others received cesarean delivery.8 patients delivered vaginally convulsed when deliverying and 6 when after postpartum.The occurrences of neonatal asphyxia,fetal distress,placental abruption,postpartum hemorrhage,small for gvstational age infant,pcrinatal mortality significantly increased in pro^lampsia group compared with in women with PIH.And the occurrences increased significantly compared with in normal pregnant women.There were statistically differences among groups.Conclusion：To study the occurs and develops of PIH,we can improve the corresponding prevention and treatment method and reduce the morbidity and its complications.