CAJ | 학술논문

目的探讨风湿性心脏病对妊娠与分娩的影响.方法回顾性分析125例妊娠合并风湿性心脏病的病例资料,孕前行心脏手术设为A组,未行手术组设为B组,比较两组心功能、妊娠期并发症及合并症、分娩孕周、分娩方式及母婴结局.结果心脏手术后心功能明显改善、妊娠期并发症明显减少,两组有显著性差异(P<0.05);两组足月分娩孕周有统计学差异(P<0.05);A组无孕产妇及围产儿死亡;B组围产儿死亡2例,产妇死亡2例;剖官产是两组的主要分娩方式.结论心脏手术后明显改善风湿性心脏病孕妇的心功能状态,降低不良并发症的发生,改善妊娠结局;择期剖宫产是心、脏瓣膜置换术后分娩的首选方式.
목적 탐토풍습성심장병대임신여분면적영향.방법 회고성분석125례임신합병풍습성심장병적병례자료,잉전행심장수술설위A조,미행수술조설위B조,비교량조심공능、임신기병발증급합병증、분면잉주、분면방식급모영결국.결과 심장수술후심공능명현개선、임신기병발증명현감소,량조유현저성차이(P<0.05);량조족월분면잉주유통계학차이(P<0.05);A조무잉산부급위산인사망;B조위산인사망2례,산부사망2례;부관산시량조적주요분면방식.결론심장수술후명현개선풍습성심장병잉부적심공능상태,강저불량병발증적발생,개선임신결국;택기부궁산시심、장판막치환술후분면적수선방식.
Objective To investigate the impact of rheumatic heart disease on pregnancy. Methods A retrospective study was conducted in 125 pregnant women with theumatic heart disease. These cases were divided into operation (group A) and non-operation (group B), and the cardiac function, pregnancy complications, gestational weeks, delivery modes and outcomes of pregnancy were compared. Results The cardiac function was significantly improved and pregnancy complications reduced after the cardiac operation with extended gestational weeks, showing significant differences between the two groups (P<0.05).One perinatal fetal death without maternal death occurred in group A, as compared with two matemal and two perinatal deaths in group B. Cesarean section was the primary delivery mode in these cases. Conclusion Surgical interventions can improve the cardiac function, reduce the pregnancy complications and improve the pregnancy outcomes in pregnant women with theumatic heart disease. Cesarean section is the primary choice for pregnant women with prosthetic heart vavle replacement.