妊娠期高血压合并胎盘早剥的临床治疗

Clinical Analysis of Pregnancy Induced Hypertension with Placental Abruption

目的分析妊娠期高血压合并胎盘早剥的治疗方法和效果。方法将本院2014年5月至2017年4月收治妊娠期高血压合并胎盘早剥患者34例作为观察组,并将同期收治妊娠期高血压未合并胎盘早剥34例患者作为对照组,给予控血压、预防胎盘早剥等治疗,评定两组的治疗结果。结果观察组早产发生率为23.5%(8/34),剖宫产发生率为82.4%(28/34),产后出血发生率为88.2%(30/34)。对照组早产发生率为5.9%(2/34),剖宫产发生率为58.8%(20/34),产后出血发生率为5.9%(2/34),有统计学意义(P<0.05);观察组新生儿死亡、产妇凝血功能障碍、胎盘卒中、新生儿窒息等发生率低于对照组(P<0.05)。结论胎盘早剥是妊娠期高血压患者的常见并发症,需加强早期诊断、治疗,以保护母婴生命,预防胎儿并发症。

Objective To analyze the therapeutic methods and effects of pregnancy induced hypertension and placental abruption. Methods From May 2014 to April 2017,34 cases of pregnancy induced hypertension complicated with placental abruption were treated as the observation group,and 34 cases of pregnancy induced hypertension not complicated with placental abruption were treated as the control group. Blood pressure control and prevention of placental abruption were given to evaluate the treatment Results of the two groups. Results The incidence of preterm labor in the observation group was 23.5%(8/34),cesarean section 82.4%(28/34)and postpartum hemorrhage 88.2%(30/34). The incidence of preterm labor in control group was 5.9%(2/34),cesarean section 58.8%(20/34),postpartum hemorrhage 5.9%(2/34),statistically significant(P<0.05). The incidence of neonatal death,maternal coagulation dysfunction,placental stroke and neonatal asphyxia in the observation group were lower than those in the control group(P<0.05). Conclusion Placental abruption is a common complication of pregnancy induced hypertension,so it is necessary to strengthen early diagnosis and treatment in order to protect the life of mother and infant and prevent fetal complications.