中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2008年
6期
981-982
,共2页
妊娠%心脏病%围生期医护%妊娠结局
妊娠%心髒病%圍生期醫護%妊娠結跼
임신%심장병%위생기의호%임신결국
Pregnancy%Heart disease%Perinatal care%Pregnancy outcome
目的 探讨妊娠合并心脏病的种类、围生期处理及妊娠结局.方法 (1)总结1998年至2007年间某院112例妊娠合并心脏病患者的临床资料.(2)按病因对患者进行心脏病种类分析.(3)按病情轻重程度分为两组,心功能Ⅰ～Ⅱ级患者80例(A组),心功能Ⅲ～Ⅳ级患者32例(B组),并对比两组患者的妊娠结局.结果 (1)妊娠合并心脏病的种类主要为先天性心脏病和心脏瓣膜关闭不全.(2)B组患者的剖宫产率为93.8%,A组患者的剖宫产率为70.0%,两组比较差异有统计学意义(P<0.01).(3)A组患者无孕产妇死亡,B组患者孕产妇死亡2例,均为妊娠期高血压性心脏病、子痫患者.(4)B组患者的早产、新生儿窒息、围生儿死亡发生率分别为43.8%、25.0%、12.5%,明显高于A组的12.5%、2.5%、0,两组比较差异有统计学意义(P<0.01).结论 妊娠合并心脏病是引起孕产妇死亡及围生儿死亡的主要原因,规范的产前检查,适时终止妊娠及相关学科的密切合作能改善妊娠结局.
目的 探討妊娠閤併心髒病的種類、圍生期處理及妊娠結跼.方法 (1)總結1998年至2007年間某院112例妊娠閤併心髒病患者的臨床資料.(2)按病因對患者進行心髒病種類分析.(3)按病情輕重程度分為兩組,心功能Ⅰ～Ⅱ級患者80例(A組),心功能Ⅲ～Ⅳ級患者32例(B組),併對比兩組患者的妊娠結跼.結果 (1)妊娠閤併心髒病的種類主要為先天性心髒病和心髒瓣膜關閉不全.(2)B組患者的剖宮產率為93.8%,A組患者的剖宮產率為70.0%,兩組比較差異有統計學意義(P<0.01).(3)A組患者無孕產婦死亡,B組患者孕產婦死亡2例,均為妊娠期高血壓性心髒病、子癇患者.(4)B組患者的早產、新生兒窒息、圍生兒死亡髮生率分彆為43.8%、25.0%、12.5%,明顯高于A組的12.5%、2.5%、0,兩組比較差異有統計學意義(P<0.01).結論 妊娠閤併心髒病是引起孕產婦死亡及圍生兒死亡的主要原因,規範的產前檢查,適時終止妊娠及相關學科的密切閤作能改善妊娠結跼.
목적 탐토임신합병심장병적충류、위생기처리급임신결국.방법 (1)총결1998년지2007년간모원112례임신합병심장병환자적림상자료.(2)안병인대환자진행심장병충류분석.(3)안병정경중정도분위량조,심공능Ⅰ～Ⅱ급환자80례(A조),심공능Ⅲ～Ⅳ급환자32례(B조),병대비량조환자적임신결국.결과 (1)임신합병심장병적충류주요위선천성심장병화심장판막관폐불전.(2)B조환자적부궁산솔위93.8%,A조환자적부궁산솔위70.0%,량조비교차이유통계학의의(P<0.01).(3)A조환자무잉산부사망,B조환자잉산부사망2례,균위임신기고혈압성심장병、자간환자.(4)B조환자적조산、신생인질식、위생인사망발생솔분별위43.8%、25.0%、12.5%,명현고우A조적12.5%、2.5%、0,량조비교차이유통계학의의(P<0.01).결론 임신합병심장병시인기잉산부사망급위생인사망적주요원인,규범적산전검사,괄시종지임신급상관학과적밀절합작능개선임신결국.
Objective This article intends to study the varieties of the prenancy associated with cardiac dis-ease, how to treat with the perinataI period and the pregnancy outcome. Methods (1)Sum up 112 sufferers' clinical data of the pregnancy associated with cardiac disease in this hospital from 1998 to 2007. (2)Analysc the varieties of the pregnancy associated with cardiac disease according to the sufferers' pathogeny. (3)Divided into two groups ac-cording to the state of an illness,80 cases are the heart function Ⅰ～Ⅱ (group A) ,32 cases are heart function Ⅲ～Ⅳ (group B) ,and contrast the two group sufferers' pregnancy outcome. Results (1)The varieties of the pregnancy associated with cardiac disease are mainly the congenital heart disease and the incompetency heart valve. (2)The rate of the uterine-incision delivered sufferers in group B is 93.8 % ,while the other one of the uterine-incision deliveredsufferers in group A is 70.0%. Compared A to B, the difference is obvious( P < 0.01 ). (3)No pregnant women is found dead in group A. 2 pregnant women were dead in group B, who was a sufferer with high blood-preasure heart-disease during pregnancy and eclampsia. (4)The dead rate of the premature delivery, neonatal asphyxia and the peri-natal in group B is 43.8% ,25.0% and 12.5%. It is obviously higher than that in group A(12.5% ,2.5% ,0).Compared A to B, the difference is obvious( P < 0.01 ). Conclusion The pregnancy associated with cardiac disease is the cause which leads to the death of the pregnant women and the perinatal babies. The canonical prenatal diagnosis,termination of pregnancy in time and the cooperation with relative sciences can improve the pregnancy outcome.
