妊娠期高血压疾病及其并发症与母婴结局的关系.docVIP

妊娠期高血压疾病及其并发症与母婴结局的关系 　　[摘要] 目的 探讨妊娠期高血压疾病及其并发症与母婴结局的关系。方法 整群收集2011年2月―2014年4月该院收治的258例妊娠期高血压患者临床资料行回顾性分析，根据患者疾病程度分为妊娠期高血压组（46例）、轻度子痫前期组（122例）、重度子痫前期组（90例），比较三组患者低蛋白血症、产后出血、胎盘早剥、早产及围产儿发生胎儿窘迫、低体重儿、胎儿生长受限、新生儿窒息及围产儿死亡发生情况。 结果 低蛋白血症、产后出血、胎盘早剥及早产等并发症发生率妊娠期高血压组低于轻度子痫前期组，轻度子痫前期组低于重度子痫前期组，三组间比较差异有统计学意义（P0.05）；围产儿胎儿窘迫、低体重儿、胎儿生长受限、新生儿窒息及围产儿死亡发生率妊娠期高血压组低于轻度子痫前期组，轻度子痫前期组低于重度子痫前期组，三组间各值比较差异有统计学意义（P0.05）。 结论 妊娠期高血压随着疾病严重程度可增加产妇及围产儿不良妊娠结局发生，临床中应及时诊断并治疗，控制疾病发展，降低不良妊娠结局发生。 　　[关键词] 妊娠；高血压；并发症；结局 　　[中图分类号] R81 [文献标识码] A [文章编号] 1674-0742（2015）06（c）-0027-03 　　[Abstract] Objective To explore the relationship between pregnancy induced hyper pregnancy induced hypertension tension and its complications and pregnancy outcome. Methods The clinical data of 258 patients with pregnancy induced hypertension admitted to our hospital between February 2011 and April 2014 were selected and analyzed retrospectively. All the patients were assigned to three groups， gestational hypertension group （46 cases）， mild preeclampsia group （122 cases）， severe preeclampsia group （90 cases） according to the extent of the disease. The occurrence of hypoproteinemia， postpartum hemorrhage， placental abruption， premature birth and perinatal fetal distress， low birth weight， fetal growth restriction， neonatal asphyxia and perinatal death of the three groups were compared. Results The complication rate of hypoproteinemia， postpartum hemorrhage， placental abruption and premature birth in the pregnancy induced hypertension group were lower that those in the mild preeclampsia group， while those in the mild preeclampsia group were lower than those in severe preeclampsia group， and there were statistically significant between the three groups （P 0.05）；the incidence of perinatal fetal distress， low body weight infants， neonatal asphyxia， fetal growth restriction and perinatal death in the pregnancy induced hypertension group were lower that those in the mild preeclampsia group， while those in the mild preeclampsia gr