CAJ | 학술논문

目的：探讨妊娠期高血压疾病患者血压与胎儿出生情况的相关关系。方法：测量100例妊娠期高血压疾病患者(疾病组)的收缩压和舒张压，计算平均动脉压，记录胎儿的体重、心率、胎龄和出生后1 min的Apgar评分，同时选择同期105名正常健康产妇作为对照(正常组)，比较两组的血压和胎儿情况，并分析妊娠期高血压疾病患者的血压与胎儿情况的相关关系。结果：与正常健康产妇相比，妊娠期高血压疾病患者的收缩压、舒张压和平均动脉压明显高，而胎儿体重、胎龄和Apgar评分明显低(P<0.05)。进一步分析显示，妊娠期高血压疾病患者的舒张压、平均动脉压与胎儿心率、胎龄、Apgar评分存在相关关系(P<0.05)，与胎儿体重不存在相关关系(P>0.05)；而妊娠期高血压疾病患者的收缩压与胎儿情况无相关关系(P>0.05)。结论：妊娠期高血压疾病患者的胎儿体重、胎龄和Apgar评分显著下降，其舒张压和平均动脉压与胎儿情况关系密切。
목적：탐토임신기고혈압질병환자혈압여태인출생정황적상관관계。방법：측량100례임신기고혈압질병환자(질병조)적수축압화서장압，계산평균동맥압，기록태인적체중、심솔、태령화출생후1 min적Apgar평분，동시선택동기105명정상건강산부작위대조(정상조)，비교량조적혈압화태인정황，병분석임신기고혈압질병환자적혈압여태인정황적상관관계。결과：여정상건강산부상비，임신기고혈압질병환자적수축압、서장압화평균동맥압명현고，이태인체중、태령화Apgar평분명현저(P<0.05)。진일보분석현시，임신기고혈압질병환자적서장압、평균동맥압여태인심솔、태령、Apgar평분존재상관관계(P<0.05)，여태인체중불존재상관관계(P>0.05)；이임신기고혈압질병환자적수축압여태인정황무상관관계(P>0.05)。결론：임신기고혈압질병환자적태인체중、태령화Apgar평분현저하강，기서장압화평균동맥압여태인정황관계밀절。
Objective:To explore the correlation between blood pressure of patients with pregnant induced hypertension(PIH) and fetal situation. Method:The systolic pressure and diastolic pressure of 100 PIH patients(disease group) were measured,and mean artery pressure(MAP) was calculated and fetal weight,heart rate,fetal age and Apgar scores in 1 min after born were recorded.The 105 normal healthy parturient women were selected as control during the same period (control group).The blood pressure and fetal situation were compared between groups,and the correlations between blood pressure of PIH patients and fetal situation were analyzed.Result:Compared to normal parturient women,systolic pressure,diastolic pressure,MAP were significantly increased and fetal weight, fetal age,Apgar scores were significantly decreased in PIH patients(P<0.05).There were correlations between diastolic pressure,MAP and fetal heart rate,fetal age,Apgar scores(P<0.05),no correlation with fetal weight(P>0.05).There were no correlations between systolic pressure and fetal situation in PIH patients (P>0.05). Conclusion:Fetal weight,fetal age and Apgar scores significantly decreased,and diastolic pressure and MAP closed to fetal situation in PIH patients.