妊娠合并心脏病不同心功能妊娠结局临床分析.docVIP

妊娠合并心脏病不同心功能妊娠结局临床分析 　　[摘要]目的 探讨妊娠合并心脏病不同心功能对妊娠结局的影响。方法 选取我院2011年1月～2016年1月收治的220例妊娠合并心脏病患者作为研究对象，研究不同心功能对患者妊娠结局的影响。结果 本研究中，妊娠合并心脏病的病情主要表现为心律失常和先天性心脏病，其中妊娠合并心律失常患者占44.55%，妊娠合并先天性心脏病患者占33.18%，妊娠合并风湿性心脏病患者位居第三，其他占10.91%。进一步分析，妊娠合并心律失常患者的心功能均为1～2级，妊娠合并先天性心脏病患者的心功能各个级别均有，其中1～2级居多。本研究有1例患者为妊娠合并艾森曼格综合征，于产后5 d猝死；有8例高血压心脏病患者，其心功能为3～4级，未见死亡患者；围生期心肌病患者15例，心功能为4级。对不同级别心功能患者的妊娠孕龄进行比较，高级别心功能的妊娠孕周显著短于低级别功能，差异有统计学意义（P0.05），其医源性早产和围生儿的死亡率明显增加（P0.05）。结论 临床中心功能在3～4级以上的妊娠期高血压性心脏病患者、先天性心脏病患者和围生期心肌病患者较为常见，其能够增加医源性早产的发生率，增加孕产妇和围生儿的死亡率；妊娠期合并心脏病患者的心脏功能状态与孕产妇以及围生儿的结局具有密切联系，临床上需予以重视。 　　[关键词]妊娠合并心脏病；不同心功能；妊娠结局；死亡率 　　[中图分类号] R714.252 [文献标识码] A [文章编号] 1674-4721（2016）08（a）-0123-03 　　[Abstract]Objective To explore the influence of different cardiac function of pregnancy complicated with heart disease on pregnancy outcome.Methods 220 cases of pregnancy complicated with heart disease in our hospital from January 2011 to January 2016 were selected as the subjects of this study，the influence of different cardiac function on pregnancy outcome was studied.Results In this research，the condition of pregnancy complicated with heart disease was mainly manifested as cardiac arrhythmias and congenital heart disease，including 98 cases of pregnancy complicated with cardiac arrhythmias，which accounted for 44.55%，73 cases of pregnancy complicated with congenital heart disease，which accounted for 33.18%，the third was pregnancy with rheumatic heart disease patients，the others accounted for 10.91%.Further analysis，the cardiac function in patients with pregnancy complicated with arrhythmia was grade 1-2，in pregnancy with congenital heart disease patients，the grade of cardiac function both existed，among them，grade 1-2 were mostly.In this study，there was 1 patients with Eisenmenger′s syndrome during pregnancy，suddenly died in 5 d after delivery.There were 8 cases of patients with hypertensive heart disease，cardiac function was grade 3-4，there was no death patients.There were 15 cases of patients with perinatal ca