妊娠期高血压终止妊娠的时机与分娩方式的临床研究及分析

Clinical research and analysis of the time and delivery mode of the pregnancy termination of pregnancy-induced hypertension

目的：分析妊娠期高血压终止妊娠的时机与分娩方式的临床影响。方法：收治妊娠期高血压孕产妇67例，对孕产妇进行不同时机以及不同的分娩方式的终止妊娠，同时对母婴并发症进行比较。结果：33周之前分娩与33～36周分娩、超过了36周分娩的新生儿窒息率的差异存在统计学意义(P＜0.05)。剖宫产分娩并发症发生情况、新生儿窒息相较于经阴道分娩的差异有统计学意义(P＜0.05)。结论：妊娠期高血压孕产妇应该尽可能选择34周之后终止妊娠，剖宫产为首选的分娩方式。

Objective:To analyze the clinical influence of the time and delivery mode of the pregnancy termination of pregnancy-induced hypertension.Methods:67 pregnant women with pregnancy-induced hypertension were selected.The pregnant women were given different times and different delivery methods of pregnancy termination.The maternal and neonatal complications were compared.Results:The neonatal asphyxia rates between delivery before 33 weeks,delivery during 33 to 36 weeks and delivery more than 36 weeks had significant differences(P<0.05).There were significant differences in the complications occurrence rates and neonatal asphyxia rates between cesarean delivery and vaginal delivery(P<0.05).Conclusion:The pregnant women with pregnancy-induced hypertension should choose as much as possible 34 weeks later for pregnancy termination,the cesarean section is the preferred delivery mode.