妊娠期高血压合并胎盘早剥的临床特征及母婴结局分析

Analysis of Clinical Featuresand Maternal-infant Outcomes of Pregnancy-Induced Hypertension with Placental Abruption

目的:妊娠期高血压合并胎盘早剥(PA)的临床特征及母婴结局分析。方法:选择2013年1月至2018年1月期间在医院就诊妊娠期高血压合并胎盘早剥患者80例为病例组,另选择同期医院就诊的妊娠期高血压患者80例为对照组。统计病例组不同程度PA的临床特征,统计两组患者分娩方式及母婴结局。结果:Ⅲ度PA患者临床病症发生率显著高于Ⅰ度及Ⅱ度患者(P<0.05);病例组患者阴道分娩比例低于对照组,剖宫产比例高于对照组(P<0.05);病例组发生不良母婴结局的比例均高于对照组(P<0.05)。结论:妊娠期高血压合并胎盘早剥剖宫产比例更高,发生不良母婴结局的比例更高。

Objective: To analyze the clinical features and maternal-infant outcomes of pregnancy-induced hypertension with placental abruption(PA). Methods: 80 patients with pregnancy-induced hypertension and placental abruption who were treated in the hospital from January 2013 to January 2018 were selected as case group. Another 80 patients with pregnancy-induced hypertension who were treated in thehospital at the same time period were selected as control group. The clinical features were counted in case group with different degrees of PA, and thedelivery modes and maternalinfant outcomes were counted in the two groups. Results: The incidence rate of clinical symptoms in patients with grade Ⅲ PA was significantly higher than that in patients with grade Ⅰ and grade Ⅱ(P<0.05). The proportion of vaginal deliveryin case group was lower than that in control group while the proportion of cesarean section was higher than that in control group(P<0.05). The proportion of adverse maternal-infant outcomes in case group was higher than that in control group(P<0.05). Conclusions: The proportion of cesarean section is higher in pregnancy-induced hypertension with placental abruption, and the proportion of adverse maternal-infant outcomes is higher.