妊娠高血压综合征与胎儿宫内发育迟缓的关系探讨

The Investigation of the Relationship between Pregnancy Induced Hypertension Syndrome and Fetal Intrauterine Growth Retardation

目的：对妊娠高血压综合征与胎儿宫内发育迟缓的关系进行探讨。方法：选取2012年1月-2013年12月山东省庆云县人民医院妇科收治的妊娠高血压综合征孕妇150例作为研究对象,设为观察组,选取同期非妊娠高血压综合征孕妇150例作为对照组,统计两组胎儿宫内发育迟缓的发生率及不同程度妊娠高血压综合征对胎儿宫内发育迟缓的影响,并统计不同体重新生儿与胎儿宫内发育迟缓的关系。结果：观察组迟缓儿的发生率为59.33%,对照组仅为9.33%,两组比较差异有统计学意义（字2=83.16,P〈0.05）;且随着血压程度的增高,出现发育迟缓比率显著升高,比较差异有统计学意义（字2=26.46,P〈0.05）。随访观察组对象至出生,体重〈2000 g的新生儿中出现发育迟缓比率为73.91%,体重2000~2500 g的新生儿中出现发育迟缓比率为55.93%,体重〉2500 g的新生儿中出现比率为48.89%,随着新生儿体重的增加,出现发育迟缓的比率显著降低,比较差异有统计学意义（字2=6.37,P〈0.05）。结论：妊娠高血压综合征孕妇的病症情况和胎儿宫内发育迟缓之间的关系密切,呈正比关系。

Objective： To discuss the relationship between hypertension and fetal intrauterine pregnancy retardation. Method： From January 2012 to December 2013 in Shandong province Qingyun County People＇s Hospital Department of gynaecology, 150 pregnant women with pregnancy induced hypertension syndrome were treated as the research objects, for observation group, selected in the same period 150 non PIH pregnant women as control group, two sets of statistics and fetal intrauterine growth late occurrence rate and different degree pregnancy induced hypertension on fetal growth high disease slow, and the statistical relationship between the different weight of newborns with intrauterine growth retardation. Result： In the observation group patients with pregnancy induced hypertension, IUGR incidence rate was 59.33%, the incidence rate was only 9.33% in the control group without pregnancy induced hypertension in IUGR, both the two groups had statistically significant difference （ x^2=83.16, P〈0.05 ） . With increased degree of blood pressure, stunted ratio increased significantly, there was significant difference （ x^2=26.46, P〈0.05 ） . Follow up observation group of 150 cases in observation group to birth, neonatal birth weight less than 2000 g in the newborn stunted ratio of 73.91% to 2500 g; weight in the newborn stunted ratio of 55.93% at 2000 g; there was 48.89% more than 2500 g of body weight ratio in the newborn, along with increase of neonatal weight, ratio of retardation appeared significantly reduced, there was statistical difference （ x^2=6.37, P〈0.05 ） . Conclusion： The relationship between hypertension syndrome pregnancy disorders and fetal intrauterine growth retardation has close proportional.