重度子痫前期并腹水产妇新生儿预后观察

Neonate prognosis of patients with severe pregnancy induced hypertension with ascites

目的 :观察重度子痫前期合并腹水产妇新生儿预后。方法 :选取 2 0 0 1年 1月至 2 0 0 2年 1 2月在本院住院分娩的重度子痫前期患者 1 38例 ,其中 1 2 3例无腹水 ,1 5例并发腹水。观察 2组新生儿出生时的Apgar评分、胎儿宫内发育迟缓、7d内新生儿存活与血浆蛋白情况。结果 :重度子痫前期合并腹水组新生儿出生后低Apgar评分 (1 4例 ,77.8% )比率明显高无腹水组 (6 9例 ,5 4 .8% ) (P <0 .0 1 ) ,围生儿死亡率腹水组 (7例 ,388.9‰ )高于无腹水组 (8例 ,6 3.5‰ ) (P <0 .0 1 )。结论 :子痫前期合并腹水患者新生儿预后差 。

Aim: To investigate the relation between the patients with pregnancy induced hypertension complicated with as cites and neonatal prognosis.Methods: A total of 123 patients with severe pregnancy induced hypertension without ascites(control group),and 15 patients with ascites(study group) were chosen.The neonatal Apgar score, intrauterine growth retardation ,7 d survival rate,and maternal plasma protein of the 2 groups were analyzed.Results: The ratio of lower Apgar score in study group was higher than that of control group( P <0.01), and the mortality in study group was significant higher than that of control group(388.9‰ vs 63.5‰, P <0.01).Conclusions:Patients with pregnancy induced hypertension complicated with ascites may lead to bad prognosis of neonates.