妊娠高血压综合征对围产儿影响的临床分析

Clinical analysis of the effect of pregnancy induced hypertension on perinatal fetus

[研究背景 ]探讨妊娠高血压综合征对围产儿的影响及其产妇分娩方式 .[病例报告 ]回顾性地分析了 16 6例妊娠高血压综合征病例 .重症妊娠高血压综合征分娩时间平均为 (36± 3)周 ,早产率为33.33% .全部病例中顺产、剖宫产、阴道手术产率分别为 38% ,44 % ,48% .重度妊娠高血压综合征围产儿死亡率为 14.86 % ,新生儿体重平均为 (2 5 74± 75 1) g ,平均Apgar评分为 (6 .77± 3.48)分 .[讨论 ]妊娠高血压综合征早产率与病情严重程度有关 ;剖宫产为妊娠高血压综合征主要分娩方式之一 ;妊娠高血压综合征对围产儿的危害致死亡率随病情严重明显增高 ;妊娠高血压综合征严重影响胎儿发育 ,影响程度与病情相一致 ,对新生儿的影响随病情严重程度而加重 .[结论 ]重度妊娠高血压综合征对围产儿影响最严重 .

BACKGROUND To determine the effects of pregnancy induced hypertension on perinatal fetus and pattern of delivery. CASE REPORT 166 cases of pregnancy induced hypertension were analyzed retrospectively. Average weeks of delivery of severe degree pregnancy induced hypertension were (36±3) weeks, rate of premature birth was 33.33%. Rate of normal delivery, cesarean section, vaginal operating were 38%, 44% and 48%, respectively. Mortality of perinatal fetus was 14.86%, average body weight of newborn was (2?574±751)g, and average Apgar scoring was 6.77±3.48. DISCUSSION Rate of premature birth relates to degree of pregnancy induced hypertension, cesarean section is major pattern of delivery, effect of pregnancy induced hypertension on perinatal fetus relates to degree of pregnancy induced hypertension and pregnancy induced hypertension effects development of fetus. CONCLUSION The effect of severe degree pregnancy induced hypertension is most serious.