妊娠合并心脏病患者妊娠结局影响因素分析

Influencing Factors of the Pregnancy Outcome of Patients with Pregnancy and Heart Disease

目的探讨影响妊娠合并心脏病患者妊娠结局的影响因素。方法整群选取2012年1月—2015年1月于该院进行孕期保健和产时分娩的96例妊娠合并心脏病患者。将96例患者的不良妊娠结局发生率按照心功能分级和心脏病类型分组进行统计分析及比较,包括围产儿不良妊娠结局(低出生体重、新生儿窒息、死产)。结果 96例妊娠合并心脏病患者15例发生围产儿不良妊娠结局,其中包括新生儿窒息5例、低出生体重6例和死产4例。心功能分级、孕次、心脏病类型和高血压与妊娠合并心脏病患者围产儿不良妊娠结局有关(P<0.05)。心功能分级、孕次、心脏病类型和高血压是妊娠合并心脏病患者围产儿不良妊娠结局的独立危险因素(P<0.05)。结论妊娠合并心脏病患者的妊娠结局相对较差,心功能分级、孕次、心脏病类型和高血压的影响相对较大。

Objective To investigate the influencing factors of pregnancy outcome of patients with pregnancy and heart dis-ease. Methods 96 cases with pregnancy and heart disease underwent antenatal care and delivery in our hospital from Jan-uary 2012 to January 2015 were selected and grouped according to the heart function classification and type of heart dis-ease, and the pregnancy outcome （low birth weight, neonatal asphyxia, dead-birth） were comparatively studied. Results Of the 96 cases with pregnancy and heart disease, 15 cases had adverse pregnancy outcome, including 5 cases with neonatal asphyxia, 6 cases with low birth weight, and 4 cases with dead-birth. Cardiac function classification, gravidity and type of heart disease, hypertension are related to the adverse pregnancy outcome in patients with pregnancy and heart disease （P〈0.05） and they were the independent risk factors of the adverse pregnancy outcome in patients with pregnancy and heart dis-ease（P〈0.05）. Conclusion The pregnancy outcome of patients with pregnancy and heart disease was bad and heart function classification, gravidity and type of heart disease exerted influence on pregnancy outcome.