实用临床医药杂志Issue(5)：135-138,4.DOI:10.7619/jcmp.201405047
妊娠期高血压病患者终止妊娠时机及分娩方式临床观察
Clinical observation on the time of termination of pregnancy and method of delivery in pregnant patients with hypertension
廖晓洁 1包明威 1毛庆华2
作者信息
- 1. 武汉大学人民医院 心内科，湖北 武汉，430060
- 2. 湖北省荆门市第一人民医院 产科，湖北 荆门，448000
- 折叠
摘要
Abstract
Objective To discuss the clinical influence of time of termination of pregnancy and method of delivery for pregnancy outcomes in pregnant patients with hypertension.Methods 156 pregnant patients with hypertension were divided into less than 34 weeks group with 22 pa-tients,34-36 weeks group with 41 patients,over 36 weeks group with 93 patients according to the time of the termination of pregnancy,and two groups including vaginal delivery group with 38 patients and cesarean section group with 118 patients according to delivery methods.The birth weight,neonatal asphyxia,neonatal mortality,maternal morbidity were contrasted between the three and two groups.Results The birth weight in the less than 34 weeks group were signifi-cantly lower than that the 34-36 weeks group and above 36 weeks group (P <0.01).The 34-36 weeks group was significantly lower than that in the above 36 weeks group(P <0.01).Neona-tal asphyxia and neonatal mortality in the less than 34 weeks group were significantly higher than that in the 34-36 weeks group and above 36 weeks group(P <0.01 or P <0.05).The 34-36 weeks group was significantly higher than that in the above 36 weeks group(P <0.05).But the difference was not significant in maternal morbidity in the three groups (P > 0 .0 5 ).The birth weight in the vaginal delivery group were significantly lower than that in the cesarean section group(P <0.01).And the neonatal asphyxia,neonatal mortality,and maternal morbidity in the vaginal delivery group were significantly higher than that in the cesarean section group (P <0.01).Conclusion Pregnancy patients with hypertension in shorter gestational time should be given reasonable treatment to extend pregnancy time.And they should terminate pregnancy at about 36 weeks of pregnancy and operate cesarean section to reduce the damage to the fetal.In this way,neonatal and maternal perinatal morbidity can reduce.关键词
妊娠期高血压疾病/终止妊娠/时机/分娩方式Key words
hypertension of pregnancy/termination of pregnancy/time/method of de-livery分类
医药卫生引用本文复制引用
廖晓洁,包明威,毛庆华..妊娠期高血压病患者终止妊娠时机及分娩方式临床观察[J].实用临床医药杂志,2014,(5):135-138,4.
