妊娠期高血压疾病与妊娠结局相关性研究.docVIP

妊娠期高血压疾病与妊娠结局相关性研究 　　[摘要]目的 探讨妊娠期高血压疾病与妊娠结局的相关性，并探讨其临床适用性。方法 选取我院2012年1月～2015年12月收治入院分娩的100例妊娠期高血压疾病产妇作为观察组，另选取我院同期住院的正常妊娠孕产妇100例作为对照组，记录两组母婴结局的各项指标、妊娠高血压组不同程度妊娠高血压母婴结局的不同情况，并对研究结果进行分析比较。结果 两组胎盘早剥、围产儿死亡率比较，差异无统计学意义（P0.05），观察组早产、剖宫产、产后出血、胎儿窘迫、新生儿窒息以及低出生体重儿发生率均显著高于对照组，差异有统计学意义（P0.05）；观察组37例（37.0%）为妊娠期高血压，63例（63.0%）为子痫前期，其中37例为轻度，31例为中度，32例为重度。不同程度患者的不良妊娠结局存在显著差异（P0.05）。结论 妊娠期高血压疾病的严重程度与妊娠结局的影响程度呈正相关，因此需要采取相关措施早期预防妊娠期高血压疾病，提高母婴预后效果。 　　[关键词]妊娠期高血压疾病；妊娠结局；相关性 　　[中图分类号] R714.24+6 [文献标识码] A [文章编号] 1674-4721（2016）07（b）-0093-03 　　[Abstract]Objective To analyze the correlation between gestational hypertension and pregnancy outcomes， and explore its clinical applicability.Methods By a random sampling，100 puerperae with gestational hypertension admitted into our hospital for delivery from January 2012 to December 2015 were selected as observation group.Another group of 100 puerperae in normal gestation in our hospital during the same period was classified into control group.Every index of mother′s and infant′s outcomes and mother′s and infant′s outcomes in different degrees of gestational hypertension in the observation group were recorded.The collected outcomes were analyzed and compared.Results There was no obvious difference in placental abruption and perinatal mortality （P0.05）.However，the incidences of premature delivery，cesarean section，postpartum hemorrhage，fetal distress，neonatal asphyxia and low birth weight infant were much higher than those of control group，which were displayed statistical differences （P0.05）.In the observation group，among 100 patients with pregnancy-induced hypertension，37（37.0%） cases were in gestational hypertension，and the rest was preeclampsia accounting for 63.0%.The degrees of pregnancy-induced hypertension were defined as mild，moderate and severe with 37，31，and 32 cases in turn.There was a statistical difference in adverse pregnancy outcomes in patients with different degrees of pregnancy-induced hypertension （P0.05）.Conclusion The sever