妊娠期高血压对母婴预后的影响

Influence of pregnancy induced hypertension on maternal and infant prognosis

目的探讨妊娠期高血压对母婴预后的影响。方法选取2016年1月—2017年10月常州市第三人民医院妇产科完成分娩的产妇77例,将其中合并妊娠期高血压产妇35例为观察组,其他正常产妇42例为对照组。比较两组产妇分娩结局(自然分娩、剖宫产、助产)及围产期并发症发生情况,并比较两组新生儿出生1 min内Apgar评分、出生体质量。结果观察组自然分娩率低于对照组,剖宫产率高于对照组(P<0.05);两组产妇助产率比较,差异无统计学意义(P>0.05)。观察组并发症发生率高于对照组(P<0.05)。观察组新生儿出生1 min内Apgar评分及出生体质量低于对照组(P<0.05)。结论妊娠期高血压对分娩结局及母婴预后均会产生不良影响,临床应加强产妇妊娠期保健及宣教,以防治妊娠期高血压发生。

Objective To observe the influence of pregnancy induced hypertension on maternal and infant prognosis.Methods A total of 77 cases of maternal were admitted from January 2016 to October 2017 in Changzhou Third People’s Hospital,35 cases of maternal with pregnancy induced hypertension were diagnosed as observation group,and the others as control group.The delivery outcome(natural delivery,cesarean section,midwifery)and perinatal complications were compared between the two groups,and the 1 min Apgar score and birth weight of neonates were compared between the two groups.Results The observation group of natural delivery rate was lower than control group,cesarean section rate was higher than control group(P<0.05);there was no significant difference in the midwifery rate between the two groups(P>0.05).The incidence rate of complications in the observation group was higher than control group(P<0.05).The 1 min Apgar score and birth weight of neonates in observation group were lower than control group(P<0.05).Conclusion Pregnancy induced hypertension have adverse effects on the outcome of delivery and the prognosis of maternal and neonatal.Clinically,maternal health care and education should be strengthened in order to achieve the prevention and treatment of pregnancy induced hypertension.