剖宫产术在治疗妊娠期高血压患者过程中的安全性研究

Study on the Safety of Cesarean Section in Hypertensive Disorder Complicating Pregnancy

目的探讨剖宫产术在临床治疗妊娠期高血压患者中的安全性及效果。方法采用历史前瞻性流行病学方法进行回顾性分析。结果妊娠期高血压患者剖宫产终止妊娠率为43.75%,其中子痫前期患者剖宫产率为97.37%。无孕产妇病死亡,围生儿病死率为0.61%。剖官产术后1周、术后42d和术后2年血压仍高于正常者分别为18.58%、7.69%和1.92%。结论术前经解痉等积极治疗与适时终止妊娠是减少母婴并发症、降低围生期病死率、提高生活质量的关键,对于子痫前期患者,以剖宫产方式终止妊娠为宜。

Objective To explore the safety and effect of cesarean section in hypertensive disorder complicating pregnancy(HDCP).Methods A retrospectively epidemiologic study was conducted.Results The average rate of cesarean section in HDCP was 43.75%.while it was 97.37% for pre-eclampsia.There was no maternity death.The fatality rote of fetus was 0.61%.18.58%,7.69% and 1.92% of eases still had hypertension in seven days,42 days and 2 years after ce- sarean section,respectively.Conclusion Active antispasm treatment before operation and timely cesarean section are crucial measures to reduce the complications and perinatal morbidity,which can alse improve the life quality,especially for pre-ec- lampsia.