重度妊高征患者血液生化检测的临床意义

Clinical significance of blood analysis and biochemistry analysis in serious pregnancy induced hypertension

目的 :研究重度妊高征患者血液生化检测的改变及其与与孕产妇 -围生儿结局之间的关系。方法 :对我院 3年来 (96 .1～ 99.5 )共 15 3例重度妊高征 (SPIH)进行分析 ,选同期自然待产的正常晚孕 (NTP)妇女相同病例数为对照。常规进行血分析、生化全套化验 ,对其中与临床关系较密切的多项指标及两组母婴预后进行统计分析。结果 :SPIH组血色素 (HG)及血球压积 (HCT)呈下降、上升两种趋势 :血小板计数 (PLT)、总蛋白 (TP)、白蛋白 (A)均下降 ,眼底动脉痉挛性改变显著 ,P <0 .0 1。相应易出现的临床症状有 :严重贫血、产后大出血、HELLP综合征、多器官功能衰竭、DIC等 ,围生儿易致早产、低体重儿、窒息等 ,P <0 .0 1。结论 :重度妊高征患者血分析及生化全套发生显著性改变 。

Objective:To study the clinical significance of blood analysis and biochemistry analysis in serious pregnancy induced hypertension (SPIH) and its relationship with pregnancy outcome. Methods:153 cases of SPIH and 153 cases of normal term pregnancy (NTP) in, more than three years (96.1～99.5) were examined. Routinely blood and biochemistry analysis were taken. Clinically related indexes and the prognosis of the two group were statistically analyzed. selected indexes which closed to clinical pregnancy outcomes, Take those indexes and outcomes statistics analysis. Results:HG and HCT ↓or↑, platelet (PLT) ↓, total protein (TP) ↓,albumin (A) ↓, eye ground artery spasm in SPIH, they are more significant than in NTP (P<0.01). The ratio of anemia , blood concentration, low protein, bleeding, HELLP symptom, DIC in SPIH were higher than in NTP; And peri-fetals are apt to IUGR, premature birth, low birth weight. Low Apger score, et al. Conclusions:the changes of blood analysis and biochemistry analysis are significant in SPIH ,and those changes are paralleled with the severity of disease.