摘要
目的观察瘢痕子宫合并妊娠高血压疾病对母婴结局的影响。方法回顾性分析108例妊娠高血压疾病产妇的临床资料,其中将50例有剖宫产史的产妇设为观察组,将58例无子宫手术史的产妇设为对照组,观察两组产妇妊娠并发症情况及母婴结局。结果两组产妇妊娠并发症(胎盘早剥、胎盘前置、DIC、妊娠高血压性心脏病、HEILP综合征)发生率比较,均无统计学差异(P>0.05);观察组早产、产后出血、剖宫产、子宫破裂、子宫切除发生率及新生儿窒息、围生儿死亡发生率均明显高于对照组(P<0.01或P<0.05)。结论瘢痕子宫合并妊娠高血压疾病产妇妊娠期及母婴结局均存在较大的风险,因此对该特殊群体产妇应加强围产期监护,积极采取医学干预手段,尽可能改善预后,确保母婴安全。
Objective To observe the effect of pregnancy-included hypertension syndrome with scarred uterus on maternal and neonatal outcomes. Methods Clinical date of 108 cases of parturients with gestational hypertension was retrospectively analyzed.50 cases of them with a history of cesarean section were referred to observed group,and 58 cases without a history of cesarean section were referred to controlled group,to observe the situation of pregnancy complications and the maternal and neonatal outcomes of the two group parturients. Results Incidence rates of pregnancy complications（placental abruption,placenta previa,DIC,pregnancy induced hypertension syndrome,HEILP syndrome） of the two group parturients were compared,and there were not statistically difference between the two groups（P〉0.05）;the incidence rate of premature birth,postpartum hemorrhage,cesarean delivery,metrorrhexis,hy sterectomy as well as the incidence rate of neonatal asphyxia and death of perinatal period in observed group were all obviously higher than those in controlled group（P〈0.01,P〈0.05）. Conclusion Parturients of pregnancyincluded hypertension syndrome with scarred uterus have more risks in gestation period and maternal and neonatal outcomes,so for this special group of parturients,perinatal monitor should be strengthen,medical interventions should be taken actively,to improve the outcomes as far as possible and ensure the safety of mother and child.
出处
《中国医药科学》
2015年第4期82-84,共3页
China Medicine And Pharmacy
关键词
瘢痕子宫
妊娠高血压疾病
妊娠期并发症
母婴结局
Scarred uterus
Pregnancy-induced hypertension syndrome
Williams manual of obstrtrics pregnancy complications
Maternal and neonatal outcome
