围产保健与妊高征的发生及其母儿并发症

Perinatal health care and occurrence and maternal-fetal complication of pregnancy induced hypertension

为探讨产前保健对妊高征发病率和母儿并发症发生率的影响，根据妊高征治疗的阶段性变化，回顾分 析了北京妇产医院１９８０年１月～１９９８年１２月期间４个阶段的妊高征病例。结果显示：妊高征总发病率逐年降低，而 重度妊高征的发病率相对升高。在该院无产前检查的重度妊高征比例显著增加，在妊高征并发死胎和早期新生儿死亡病 例中，无产前检查者显著增加，子痫孕妇中大部分为无产前检查者并来源于外地。因此作者认为，加强产前保健可以降 低妊高征的发病率，只有更大范围地健全和加强围产保健，才能降低妊高征对母儿的危害。

To investigate the effect of prenatal care on the morbidity of pregnancy induced hypertension (PIH) and the incidence rates of maternal and fetal complications of PIH. From Jan. 1980 to Dec. 1998. A descriptive retrospectire study of all cases of PIH was made. Results showed that the total morbidity of PIH was significantly reduced year by year. But the proportion of severe PIH was relatively increased. The cases of severe PIH that didn't have antenatal examinations in on hospital were increaeed significantly. The cases of PIH complicated by dead fetus and early neonatal death without antenatal examination were increased significanlty. The greater part of eclampia women didn't have antenatal examination and came from other places. The authors think to strengthen perinatal health care can reduce the morbidity of PIH. Only by perfecting prenatal care in a wider range can the harm to mothers and fetuses be reduced.