摘要
目的:对比分析妊娠期高血压疾病(Hypertensive disorder complicating pregnancy,HDCP)患者采用不同分娩方式对母婴结局的影响。方法:回顾性分析2017年4月-2018年11月我院78例HDCP患者临床资料,依据分娩方式不同分为观察组(剖宫产,n=39)与对照组(阴道分娩,n=39)。所有患者入院后均接受解痉、降压以及镇静等治疗,并依据产妇的个体情况、孕周情况以及病情变化等选择分娩方式。比较两组产妇血压(舒张压、收缩压)、产妇妊娠结局、新生儿血气指标(血二氧化碳分压、酸碱度、血氧分压)、碱剩余、新生儿结局。结果:两组产后DBP及SBP均降低,且观察组低于对照组,差异有统计学意义(P<0.05);观察组产后出血量低于对照组,产妇及新生儿不良事件少于对照组,新生儿脐动脉pH高于对照组,PaCO 2、PaO 2及BE均低于对照组,差异有统计学意义(P<0.05)。结论:针对HDCP患者,选择剖宫产有利于降低血压,减少不良事件的发生,对维护母婴健康,优化母婴结局具有重要意义。
Objective:To compare the effects of different delivery methods on maternal and infant outcomes in patients with hypertensive disorder complicating pregnancy(Hypertensive disorder complicating pregnancy,HDCP).Methods:The clinical data of 78 patients with HDCP in our hospital from April 2017 to November 2018 were retrospectively analyzed and divided into observation group(cesarean section,n=39)and control group(vaginal deliery,n=39)according to the different mode of delivery.All the patients were treated with spasmolysis,hypotension and sedation after admission,and the delivery mode was selected according to the individual condition of the parturient,the condition of the gestational week and the change of the condition.Blood pressure(DBP,SBP),pregnancy outcome,neonatal blood gas index(PaCO 2,pH,PaO 2),neonatal outcome of alkali surplus BE.Results:The DBP and SBP of the two groups were lower,and the observation group was lower than that of the control group,the difference was statistically significant(P<0.05),the postpartum hemorrhage of the observation group was lower than that of the control group,and the maternal and neonatal adverse events were less than that of the control group,and the pH of the umbilical artery in the newborn was higher than that of the control group,PaCO 2,PaO 2 and BE were lower than those in the control group(P<0.05).Conclusion:For HDCP patients,the choice of cesarean section is helpful to reduce blood pressure,reduce the occurrence of adverse events,to maintain maternal and infant health,and to optimize maternal and infant outcomes.
作者
曹怡
CAO Yi(Xiamen University Affiliated Women and Children Hospital,Xiamen Maternal and Child Health Hospital,Xiamen City,Fujian Province 361000)
出处
《医学理论与实践》
2019年第18期2873-2875,共3页
The Journal of Medical Theory and Practice
关键词
HDCP
阴道分娩
剖宫产
母婴结局
血气分析
HDCP
Vaginal delivery
Cesarean section
Maternal and infant outcome
Blood gas analysis
