妊娠高血压病的防治及终止妊娠指征

Prevention of Gestational Hypertension and Indication of Pregnancy Termination

目的：对妊娠高血压综合征患者进行临床回顾性分析，从而对妊娠高血压综合征的防治工作及终止妊娠指征进行总结，为临床降低妊娠高血压综合征患者的死亡率以及提高胎儿质量提供可靠依据。方法：对44例妊娠高血压综合征患者进行临床回顾性分析，所有患者均给予降压药物治疗，严重时可给予硝酸甘油静脉滴注治疗，若患者病情不稳定，出现符合终止妊娠指征，应立即给予终止妊娠措施。结果：43例患者及胎儿均未出现严重并发症及后遗症，新生儿体征稳定，产妇及新生儿均痊愈出院，成功率为97．73％；1例患者由于出现HELLP综合征造成胎死宫内；剖宫产率为88．64％，自然分娩率为11.36％。结论：在临床防治妊娠高血压综合征应做到旱发现、旱治疗，从而达到降低孕妇死亡率、提高新生儿分娩质量的目的。

Objective： Patients with pregnancyinduced hypertension syndrome were retrospectively analyzed to summarize the pre vention work and pregnancy termination of pregnancyinduced hypertension syndrome, which provided reliable basis for reducing the mortality of patients with pregnancyinduced hypertension syndrome and improving the quality of fetus. Methods： 44 cases of patients with pregnancyinduced hypertension syndrome were retrospectively analyzed, all the patients were given antihypertensive and intravenous drip of nitroglycerin when it was severe, if there was indication of pregnancy termination without stable condition of patients, pregnancy should be immediately terminated. Results： Without serious complications and sequelae of 43 patients and fe tal, the signs of newborns were stable, puerpera and newborns were cured and discharged, the success rate was 97.73%; 1 patients with HELLP syndrome caused stillbirth; Cesarean rate was 88.64%, the natural childbirth rate was 11.36%. Conclusion： Clinical pro phylaxis and treatment of pregnancyinduced hypertension syndrome should be early discovered and early cured, so as to reduce the mortality of gravidas and improve the delivery quality of newborns.