不同程度妊娠期高血压疾病合并宫颈感染对妊娠结局及术后感染的影响

Effects of different degrees of hypertensive disorder complicating pregnancy combined with cervical infection on pregnancy outcomes and postoperative infection

目的研究不同程度妊娠期高血压疾病合并宫颈感染对妊娠结局及术后感染的影响。方法选择2012年12月-2015年12月期间,妊娠期高血压疾病合并宫颈感染产妇120例(轻中度60例,重度60例),妊娠期高血压疾病无感染产妇60例(对照组),正常妊娠孕妇60例(正常组),比较3组产妇的妊娠结局、术后感染等指标。结果在本次研究中,重度妊娠期高血压疾病合并宫颈感染产妇组的新生儿窒息、胎儿宫内窘迫、围生儿死亡、剖宫产发生率分别为20.00%、11.67%、13.33%、51.67%,轻中度妊娠期高血压疾病合并宫颈感染产妇组以上指标分别为1.67%、1.67%、3.33%、46.67%。两组的新生儿窒息、胎儿宫内窘迫、围生儿死亡发生率比较,具有统计学意义差异(P<0.05)。对照组以上指标分别为1.67%、1.67%、1.67%、36.67%,重度组明显高于对照组(P<0.05)。妊娠期高血压疾病合并宫颈感染产妇组新生儿窒息、胎儿宫内窘迫、围生儿死亡发生率与妊娠期高血压疾病无感染产妇组的比较,差异具有统计学意义(P<0.05)。妊娠期高血压疾病合并宫颈感染产妇组新生儿窒息、胎儿宫内窘迫、围生儿死亡、剖宫产发生率明显高于正常妊娠组(P<0.05)。妊娠期高血压疾病合并宫颈感染组、对照组、正常组术后感染发生率分别为23.73%、4.55%、0.00%,其中妊娠期高血压疾病合并宫颈感染组明显高于对照组与正常组(P<0.05)。结论妊娠期高血压疾病合并宫颈感染病情越重,产妇不良妊娠结局发生率越高,且实施剖宫产终止妊娠术后感染发生率也较高,所以需要加强对妊娠期高血压疾病合并宫颈感染产妇的护理干预,及时终止妊娠,控制妊娠期高血压疾病的发展,改善母婴预后。

Objective To research the effects of different degrees of hypertensive disorder complicating pregnancy（ HDCP） combined with cervical infection on pregnancy outcomes and postoperative infection of the pregnant women. Methods From December 2012 to December 2015,one hundred and twenty pregnant women with HDCP combined with cervical infection（ including sixty pregnant women with mild HDCP combined with cervical infection and sixty pregnant women with severe HDCP combined with cervical infection）,sixty pregnant women with HDCP,and sixty normal pregnant women were selected; the pregnancy outcomes and postoperative infection indexes of pregnant women in the three groups were compared. Results The incidence rates of neonatal asphyxia,fetal distress,perinatal death,and cesarean section among the pregnant women with severe HDCP combined with cervical infection were 20. 00%,11. 67%,13. 33%,and 51. 67%,respectively. The incidence rates of neonatal asphyxia,fetal distress,perinatal death and cesarean section among the pregnant women with mild HDCP combined with cervical infection were 1. 67%,1. 67%,3. 33%,and 46. 67%,respectively. There were statistically significant differences in the incidence rates of neonatal asphyxia,fetal distress,and perinatal death between the pregnant women with severe HDCP combined with cervical infection and the pregnant women with mild HDCP combined with cervical infection（ P〈0. 05）. The incidence rates of neonatal asphyxia,fetal distress,perinatal death and cesarean section in control group were 1. 67%,1. 67%,1. 67%,and36. 67%,respectively,which were statistically significantly lower than those among the pregnant women with severe HDCP combined with cervical infection（ P〈0. 05）. There were statistically significant differences in the incidence rates of neonatal asphyxia,fetal distress,and perinatal death between the pregnant women with HDCP combined with cervical infection and the pregnant women with HDCP（ P〈0. 05）.The incidence rates of neonatal asphyxia,fetal distress,perinatal death and cesarean section among the pregnant women with HDCP combined with cervical infection were statistically significantly higher than those among normal pregnant women（ P〈0. 05）. The incidence rates of postoperative infection in HDCP combined with cervical infection group,control group,and normal group were 23. 73%,4. 55%,and 0. 00%,respectively. The incidence rate of postoperative infection in HDCP combined with cervical infection group were statistically significantly higher than those in control group and normal group（ P〈0. 05）. Conclusion The severer HDCP combined with cervical infection is,the higher the incidence rates of adverse pregnancy outcomes among the pregnant women are,and the incidence rate of postoperative infection after cesarean section to terminate pregnancy is high,so nursing and intervention of pregnant women with HDCP combined with cervical infection should be enhanced,pregnancy should be terminated and the development of HDCP should be controlled to improve maternal and infantile prognosis.