妊娠期慢性高血压并发早发型重度先兆子痫对母儿结局的影响

Effect of chronic hypertension in pregnancy combined with early-onset severe preeclampsia on outcome of gestation

目的:探讨妊娠期慢性高血压并发早发型重度先兆子痫对母儿结局的影响。方法:收治早发型重度先兆子痫孕妇86例,分为两组。对照组给予常规治疗,观察组在常规治疗基础上给予降压治疗,比较两组母儿结局。结果:观察组血压明显高于对照组,差异有统计学意义(P<0.05)。观察组呼吸窘迫综合征发生率20.93%,明显高于对照组,差异有统计学意义(P<0.05)。结论:密切监测、积极治疗可减少妊娠期慢性高血压合并早发型重度先兆子痫患者的母儿不良结局的发生。

Objective：To investigate the effect of chronic hypertension in pregnancy combined with early-onset severe preeclampsia on oulcome of gesta｜ion.Methods：86 cases of pregnant women with early-onset severe preeclampsia were divided into two groups.The control group was given conventional treatment.The observation group was treated with hypotension on the basis of conventional treatment, and the outcome of gestation between groups was eompared.Resuhs：The blood pressure of the observation group was significantly higher than that of the control group,and the difference was statistically significant （P 〈 0.05）. The incidence of respiratory distress syndrome in the observation group was 20.93%,which was significantly higher than that in the control group,and the difference was statistically significant （P 〈 0.05）.Conclusion：Close monitoring and active treatment could reduce the incidence of poor outcome of gestation in patients with chronic hypertension in pregnancy combined with early-onset severe preeclampsia.