77例妊娠合并心脏病伴肺动脉高压患者的母婴结局及护理对策

The Nursing Strategies and the Maternal and Neonatal Outcomes in 77 Pregnant Women with Heart Disease Complicated with Pulmonary Arterial Hypertension

目的探讨妊娠合并心脏病伴肺动脉高压(PAH)患者的母婴结局及护理对策。方法 77例妊娠合并心脏病伴PAH患者根据肺动脉压力分为轻度组22例、中度组22例、重度组33例,比较各组的母婴结局。结果中度组及重度组的早产率高于轻度组,新生儿体质量低于轻度组(P<0.05)。结论心脏病合并PAH患者以剖宫产终止妊娠为主,加强监测护理可改善母婴结局。

Objective To explore the nursing strategies and the maternal and neonatal outcomes in 77 pregnant women with heart disease complicated with pulmonary arterial hypertension(PAH). Methods 77 pregnant women with heart disease complicated with PAH were divided into the mild group(22 cases), moderate group(22 cases) and severe group(33 cases) according to the pulmonary artery pressure, to compare the maternal and neonatal outcomes of three groups. Results The preterm birth rate of mild group was significantly lower than that of moderate group and severe group, and the body weight of newborns was significantly higher than that of moderate group and severe group(P<0.05). Conclusions Cesarean section is the main method to terminate pregnancy in patients with heart disease complicated with PAH. Strengthening monitoring and nursing can improve the maternal and neonatal outcomes.