中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2015年
11期
17-18,19
,共3页
妊娠期%产褥期%脑卒中
妊娠期%產褥期%腦卒中
임신기%산욕기%뇌졸중
Pregnancy%Postpartum%Stroke
目的:探讨妊娠期和产褥期的孕产妇并发脑卒中的临床诊治情况。方法选择2007‐03—2012‐05收治的36例妊娠期和产褥期并发脑卒中的孕产妇以及同期36例接受治疗的正常孕产妇,对2组孕产妇、新生儿的并发症情况以及一般病症发生情况进行比较。结果对照组孕产妇的产后出血、早产、妊高症、羊水过多以及剖宫产的发病率分别为5.6%、13.9%、19.4%、8.3%、77.8%,显著高于观察组的2.8%、8.3%、11.2%、2.8%、27.8%,差异有统计学意义(P<0.05);对照组新生儿的窒息、宫内窘迫、巨大儿、低血糖以及低蛋白血症的发病率分别为11.2%、19.4%、8.3%、50%,显著高于观察组的0、2.8%、8.3%、2.8%、22.2%;对照组孕产妇的头痛、恶心呕吐、肢体功能障碍以及半瞳孔改变发生率33.5%,显著高于观察组的8.4%,差异均有统计学意义(P<0.05)。结论脑卒中对孕产妇以及新生儿的生命和健康造成严重影响,妊娠期以及产褥期的脑卒中孕产妇以及新生儿的临床病症的发生率显著高于正常产妇,其可对妊娠期以及产褥期脑卒中的发生有一定的预测价值。
目的:探討妊娠期和產褥期的孕產婦併髮腦卒中的臨床診治情況。方法選擇2007‐03—2012‐05收治的36例妊娠期和產褥期併髮腦卒中的孕產婦以及同期36例接受治療的正常孕產婦,對2組孕產婦、新生兒的併髮癥情況以及一般病癥髮生情況進行比較。結果對照組孕產婦的產後齣血、早產、妊高癥、羊水過多以及剖宮產的髮病率分彆為5.6%、13.9%、19.4%、8.3%、77.8%,顯著高于觀察組的2.8%、8.3%、11.2%、2.8%、27.8%,差異有統計學意義(P<0.05);對照組新生兒的窒息、宮內窘迫、巨大兒、低血糖以及低蛋白血癥的髮病率分彆為11.2%、19.4%、8.3%、50%,顯著高于觀察組的0、2.8%、8.3%、2.8%、22.2%;對照組孕產婦的頭痛、噁心嘔吐、肢體功能障礙以及半瞳孔改變髮生率33.5%,顯著高于觀察組的8.4%,差異均有統計學意義(P<0.05)。結論腦卒中對孕產婦以及新生兒的生命和健康造成嚴重影響,妊娠期以及產褥期的腦卒中孕產婦以及新生兒的臨床病癥的髮生率顯著高于正常產婦,其可對妊娠期以及產褥期腦卒中的髮生有一定的預測價值。
목적:탐토임신기화산욕기적잉산부병발뇌졸중적림상진치정황。방법선택2007‐03—2012‐05수치적36례임신기화산욕기병발뇌졸중적잉산부이급동기36례접수치료적정상잉산부,대2조잉산부、신생인적병발증정황이급일반병증발생정황진행비교。결과대조조잉산부적산후출혈、조산、임고증、양수과다이급부궁산적발병솔분별위5.6%、13.9%、19.4%、8.3%、77.8%,현저고우관찰조적2.8%、8.3%、11.2%、2.8%、27.8%,차이유통계학의의(P<0.05);대조조신생인적질식、궁내군박、거대인、저혈당이급저단백혈증적발병솔분별위11.2%、19.4%、8.3%、50%,현저고우관찰조적0、2.8%、8.3%、2.8%、22.2%;대조조잉산부적두통、악심구토、지체공능장애이급반동공개변발생솔33.5%,현저고우관찰조적8.4%,차이균유통계학의의(P<0.05)。결론뇌졸중대잉산부이급신생인적생명화건강조성엄중영향,임신기이급산욕기적뇌졸중잉산부이급신생인적림상병증적발생솔현저고우정상산부,기가대임신기이급산욕기뇌졸중적발생유일정적예측개치。
Objective To investigate clinical diagnosis and treatment of patients in pregnancy and puerperium complicated with stroke. Methods 36 patients in pregnancy and puerperium complicated with stroke from March 2007 to May 2012 were selected and 36 patients in pregnancy and puerperium were selected as control. Maternal complications of two groups were ob‐served and compared. Clinical features of stroke maternal were analyzed. Results The incidences of postpartum hemorrhage , premature birth ,pregnancy‐induced hypertension ,polyhydramnios ,and cesarean section rates of control group were 5.6% , 13.9% ,19.4% ,8.3% ,77.8% ;and which were 2.8% ,8.3% ,11.2% ,2.8% ,27.8% in observation group ,control group were higher than observation group ,the differences were statistically significant (P<0.05). Neonatal asphyxia ,fetal distress , great children ,hypoglycemia and hypoalbuminemia of control group were 11.2% ,19.4% ,8.3% ,50% ,which in observation group were 0 ,2.8% ,8.3% ,2.8% ,22.2% ;the incidence of maternal headache ,nausea ,vomiting ,limb dysfunction and semi‐pupil change in maternal of control group was 33.5% ,which was significantly higher than that of observation group , there were significant differences between the two groups (P<0.05). Conclusion Stroke during pregnancy and postpartum has serious impact on maternal and neonatal ,clinical disease incidence of maternal and neonatal with stroke in pregnancy and puerperium is significantly higher than that of normal pregnant ,which may have a predictive value for the occurrence of preg‐nancy and puerperium stroke.