医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2013年
26期
155-155
,共1页
妊娠期高血压疾病%分娩方式%临床治疗%探讨
妊娠期高血壓疾病%分娩方式%臨床治療%探討
임신기고혈압질병%분면방식%림상치료%탐토
Hypertensive disorder complicating pregnancy%Delivery mode%Clinical study%Discuss
目的：探讨妊娠期高血压患者终止妊娠的最佳时机，以及正确的分娩方式。方法选取2011年6月~2013年6月在我院治疗的妊娠期高血压患者，共212例，对这些患者的临床治疗情况、跟踪记录情况，结合分娩后子宫出血情况、新生儿的窒息情况进行全面分析。结果212例患者中，31例分娩方式为阴道分娩，182例为剖宫产，剖宫产占85.85%；阴道分娩的发生产后出血13例，占总数的6.12%，剖宫产分娩的患者发生产后出血16例，占总数的7.54%。阴道分娩中30.24%出现新生儿窒息，剖宫产中12.31%出现新生儿窒息。阴道分娩中出现新生儿窒息高于剖宫产（P＞0.05）。结论对于妊娠期高血压疾病的患者，何时为最佳终止妊娠的时期尚无定论，根据本次的研究结果和研究资料显示，妊娠期高血压患者的终止妊娠时机要根据患者的临床表现、孕周、病情发展、药物的治疗情况以及胎儿的发育情况进行综合评估和讨论。
目的：探討妊娠期高血壓患者終止妊娠的最佳時機，以及正確的分娩方式。方法選取2011年6月~2013年6月在我院治療的妊娠期高血壓患者，共212例，對這些患者的臨床治療情況、跟蹤記錄情況，結閤分娩後子宮齣血情況、新生兒的窒息情況進行全麵分析。結果212例患者中，31例分娩方式為陰道分娩，182例為剖宮產，剖宮產佔85.85%；陰道分娩的髮生產後齣血13例，佔總數的6.12%，剖宮產分娩的患者髮生產後齣血16例，佔總數的7.54%。陰道分娩中30.24%齣現新生兒窒息，剖宮產中12.31%齣現新生兒窒息。陰道分娩中齣現新生兒窒息高于剖宮產（P＞0.05）。結論對于妊娠期高血壓疾病的患者，何時為最佳終止妊娠的時期尚無定論，根據本次的研究結果和研究資料顯示，妊娠期高血壓患者的終止妊娠時機要根據患者的臨床錶現、孕週、病情髮展、藥物的治療情況以及胎兒的髮育情況進行綜閤評估和討論。
목적：탐토임신기고혈압환자종지임신적최가시궤，이급정학적분면방식。방법선취2011년6월~2013년6월재아원치료적임신기고혈압환자，공212례，대저사환자적림상치료정황、근종기록정황，결합분면후자궁출혈정황、신생인적질식정황진행전면분석。결과212례환자중，31례분면방식위음도분면，182례위부궁산，부궁산점85.85%；음도분면적발생산후출혈13례，점총수적6.12%，부궁산분면적환자발생산후출혈16례，점총수적7.54%。음도분면중30.24%출현신생인질식，부궁산중12.31%출현신생인질식。음도분면중출현신생인질식고우부궁산（P＞0.05）。결론대우임신기고혈압질병적환자，하시위최가종지임신적시기상무정론，근거본차적연구결과화연구자료현시，임신기고혈압환자적종지임신시궤요근거환자적림상표현、잉주、병정발전、약물적치료정황이급태인적발육정황진행종합평고화토론。
Objective: To investigate the best time in patients with pregnancy induced hypertension and termination of pregnancy,as wel as the correct mode of delivery. Methods: from 2011June to 2013 June in patients with hypertension of pregnancytreated in our hospital, a total of 212 cases, the clinicaltreatment, these patients track record, combined with asphyxia,neonatal birth after uterine bleeding were analyzed. Results: 212 cases of patients, 31 cases of delivery mode for vaginal delivery, 182 cases of cesarean section, Caesarean birth 85.85%; vaginal delivery occurred postpartum hemorrhage in 13 cases, accounting for 6.12% of the total, cesarean deliveryin patients with postpartum hemorrhage in 16 cases, accounting for 7.54% of the total. 30.24% appear in vaginal delivery,neonatal asphyxia, cesarean section in 12.31%newborns with asphyxia. Vaginal delivery in neonatal asphyxia is higher than that of cesarean section (P> 0.05). Conclusion: for the patients with hypertensive disorder complicating pregnancy, when is the best time for termination of pregnancy is inconclusive, according to the research results and research data shows, in patients with pregnancy induced hypertension of pregnancy termination timing according to clinical manifestations, gestational weeks,the progression of the disease, drug treatment and fetal development comprehensively evaluation and discussion.
