妊娠高血压综合征59例临床分娩方式分析.docVIP

精品论文 参考文献 妊娠高血压综合征59例临床分娩方式分析 陈顺慈 （湖北省襄阳市保康县中医院 441600） 【中图分类号】R714.24+6 【文献标识码】A【文章编号】1672-5085（2013）21-0113-01 【摘要】 目的 对妊娠高血压综合征的检测、预防及处理措施的探讨。方法 归纳我院2008—2012年收治的59例妊高症孕产妇，并对其产前、产后情况进行总结分析。结果 59例妊高症产妇中，12例重度妊高症患者仅3例严格按规范进行产前检查。其中1例产妇因合并产前子痫，胎儿宫内窘迫综合症抢救无效死亡外，其余经住院治疗及护理，病情得到及时控制，均母婴平安、痊愈出院。结论 做好孕期保健教育和围产期保健工作，产前、产时、产后严密监测血压变化和患者自觉症状，适时采取剖宫产术终止分娩，对预防妊高症及子痫的发生，保障母婴安全，能起到积极有效的作用。 【关键词】妊娠高血压综合征 监测 预防 处理措施 Pregnancy-induced hypertension syndrome in 59 cases the mode of delivery analysis Chen Shunci Xiangyang City, Hubei Province, Baokang County Hospital 441600 【Abstract】 Objective To investigate the detection of pregnancy-induced hypertension, prevention and treatment measures. Methods: summarized admitted our hospital 2008-2012, 59 cases of pregnancy-induced hypertension maternal and summary analysis of its pre-natal and post-natal situation. Results: 59 cases of maternal pregnancy-induced hypertension, 12 cases of severe pregnancy-induced hypertension patients only three cases strictly according to specifications for prenatal care. Maternal merger prenatal eclampsia, fetal distress syndrome died outside, the rest with hospitalization and care, the condition to be controlled in time, all pregnancy safer, cured. Conclusion: good prenatal health, education and perinatal care, prenatal, intrapartum, postpartum closely monitored the changes in blood pressure and symptoms in patients, be ready to take the termination of cesarean section childbirth, the prevention of the occurrence of pregnancy-induced hypertension and eclampsiato protect the safety of mother and child, can play a positive and effective role. 【Key words】 pregnancy induced hypertension monitoring preventive treatment measures 妊娠高血压综合征，简称妊高症，现在亦称妊娠期高血压疾病。它是孕产妇的特有病症，在妊娠20周与产后两周发生者居多。轻症表现高血压、蛋白尿，重症可表现为头疼、恶心、呕吐、腹痛、视物不清等，若治疗不适当、及时，甚至可引发抽搐，惊厥，心肝肾功能衰竭等。该病严重影响母婴健康，是孕产妇和围生儿病率及死亡率的主要原因。 1、临床资料 1.1 一般资料 本院5年产检筛查、住院孕产妇2230例。发现妊高症59例，发病率2.6%。其中轻度36例，中度17例，重度6例（含2例产前子痫）。孕周ge