妊娠期高血压并发胎盘早剥96例临床分析

Clinical analysis of hypertensive disorders in pregnancy complicated with placental abruption

目的:探讨妊娠期高血压并发胎盘早剥产妇的临床特点与母婴结局。方法:将96例妊娠期高血压并发胎盘早剥产妇作为观察组;选择同期在我院接受治疗的单纯妊娠期高血压产妇96例作为对照组。对比两组产妇病情资料、临床症状和母婴结局,分析妊娠期高血压并发胎盘早剥产妇的临床特点。结果:观察组和对照组产妇剖宫产率分别为66.67%(64/96)、21.87%(21/96),两组比较有显著性差异(P<0.05);观察组产妇各种不良母婴结局(产妇凝血功能障碍、新生儿窒息、胎儿生长受限、胎盘卒中、产后出血、子宫切除、早产、新生儿死亡或死胎、产妇死亡)发生率均高于对照组(P<0.05)。结论:妊娠期高血压疾病并发胎盘早剥是孕妇常见的严重疾病之一,加重孕妇临床症状,易造成不良母婴结局。对患有妊娠期高血压的产妇进行B超、血液流变学检查和监测能够有效预防胎盘早剥的发生。

Objective：To analyze the clinical characteristics and pregnancy outcome of puerperant with hypertensive disorders in pregnancy complicated with placental abruption.Methods：A total of 96 patients with hypertensive disorders in pregnancy complicated with placental abruption during the period from October 2013 to October2014were selected as the observation group,and 96 patients with pure hypertensive disorders in pregnancy in our hospital during the same period as the control group.The clinical characteristics of two groups of maternal illness,clinical symptoms and pregnancy outcomes were compared.Results：The cesarean section rate of the observation group and the control group were 66.67%（64/96）,21.87%（21/96）,respectively,the difference was significant in the two groups（P〈0.05）.Observation group various adverse pregnancy outcomes（maternal coagulation dysfunction,neonatal asphyxia,fetal growth restriction,uteroplacental apoplexy,postpartum hemorrhage,hysterectomy,premature birth,stillbirth or neonatal death,maternal deaths）incidence was higher than that of the control group（P〈0.05）.Conclusion：Hypertensive disorders in pregnancy complicated with placental abruption is one of the common diseases in pregnant women,and the clinical symptoms of pregnant women,which can easily lead to adverse maternal and infant outcomes.B ultrasound,blood rheology examination and monitoring can effectively prevent the occurrence of placental abruption in patients with pregnancy induced hypertension.