妊娠期高血压疾病视网膜病变及其围生儿预后临床研究.docVIP

妊娠期高血压疾病视网膜病变及其围生儿预后临床研究 　　[摘要]目的 分析妊娠期高血?杭膊』颊呤油?膜病变与其分类及围生儿预后的关系，为妊娠高血压的临床判断和治疗提供依据。方法 收集2013年6月～2015年6月于我院产科住院的2388例孕产妇，其中妊娠期高血压患者150例，网脱6例。将150例妊娠期高血压患者分为妊娠期高血压组、轻度子痫前期组、重度子痫前期组、子痫期组四组。分析每组各组视网膜病变发生率及视网膜病变的分期情况；采用阿普加评分法对围生儿预后进行评价；分析眼底视网膜病变的分期与妊娠期高血压的发展及围生儿预后的关系。结果 150例妊娠高血压患者中，妊娠期组高血压组60例、轻度子痫前期组38例、重度子痫前期组29例、子痫期组23例，视网膜病变人数分别为46例（76.7%）、33例（86.8%）、28例（96.5%）、23例（100.0%）。四组患者各期视网膜病变发生率：Ⅰ期分别为63.3%、34.2%、10.3%、0；Ⅱ期分别为26.7%、55.3%、27.6%、14.8%；Ⅲ期分别为10.0%、10.5%、62.1%、82.6%。Ⅰ、Ⅱ、Ⅲ期视网膜病变患者其胎儿预后不良发生率分别为7.4%、12.1%、26.8%，差异有统计学意义（P0.05）。结论 妊娠期高血压疾病视网膜病变的发展与胎儿预后有着密切的关系，因此及时评估病情，并采取相应的措施，可以降低视网膜病变的发生率及严重程度。 　　[关键词]妊娠期高血压；视网膜病变；围生儿；子痫；相关性 　　[中图分类号] R714.246 [文献标识码] A [文章编号] 1674-4721（2016）11（c）-0104-04 　　[Abstract]Objective To provide an effective examination and treatment ways for gestational hypertension in clinical by analyze the relationship between retinopathy and its classification of the gestational hypertension with prognosis of perinatal infants.Methods 2388 pregnant women in our hospital from June 2013 to June 2015 were selected，with which 150 cases got gestational hypertension and 6 cases were lost.150 patients with gestational hypertension were divided into the following four groups：gestational hypertension group，mild preeclampsia group，severe preeclampsia group and eclampsia group.The incidence and stage of retinopathy in the four groups were analyzed.The prognosis of perinatal infants were evaluated with the Apgar score.The relationship between the retinopathy stage and the development of high blood pressure in pregnancy，the prognosis of perinatal infants were analyzed.Results Of the 150 patients with gestational hypertension，there were 60 cases in the gestational hypertension group，38 cases in the mild preeclampsia group，29 cases in the severe preeclampsia group and 23 cases in the eclampsia group，and the number of patients with retinopathy was 46 （76.7%），33（86.8%），28（96.5%） and 23 （100.0%），respectively，the incidence of retinopathy with different stage：stag