摘要
目的探讨精神病合并妊娠的处理。方法对精神疾病患者合并妊娠分娩的74例的妊娠过程用药、分娩情况和新生儿出生情况进行分析。结果发作期的患者60例分娩时,行剖宫产46例(76.67%),早产6例,胎儿生长受限5例,新生儿轻度窒息3例;稳定期患者14例,剖宫产6例(42.86%),无不良妊娠结局。所有新生儿均无先天性疾病。结论精神疾病患者病情至少稳定2年后妊娠及孕中晚期抗精神病药维持治疗很有必要;对发作期的患者分娩时适当放宽剖宫产指征,加强整体护理以保障母婴安全。
Objective To investigate the treatment of psychiatric merging pregnancy.Methods Combination of the 74 cases of pregnancy childbirth in patients with mental illness during pregnancy medication, delivery conditions and analyses the effect of birth. Results 60 patients with episodes of childbirth, line of 46 cases of cesarean section （76.67%）, 6 cases of preterm labor, fetal growth restriction in 5 cases, mild asphyxia newborn （3 cases）; Fourteen patients with plateau, cesarean section （42.86%）, 6 cases with no adverse pregnancy outcomes. All the newborn have no congenital diseases. Conclusion Stable mental illness patients at least 2 years after pregnancy and pregnancy middle-late antipsychotic drug maintenance therapy is necessary; In patients with episodes of childbirth loosening cesarean section indications, strengthen to holistic nursing care to ensure the safety of maternal and infant.
出处
《菏泽医学专科学校学报》
2014年第2期58-60,共3页
Journal of Heze Medical College
关键词
妊娠
分娩
精神病/并发症
妊娠/并发症
精神病/治疗
新生儿
pregnancy
Childbirth
Psychiatric/complications
Pregnancy/complications
Psychiatric/treatment
thenewborn
