医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
11期
2069-2070
,共2页
妊娠期高血压疾病%胎盘早剥%母婴预后
妊娠期高血壓疾病%胎盤早剝%母嬰預後
임신기고혈압질병%태반조박%모영예후
Hypertensive disorder complicating pregnancy%Maternal placental abruption%Prognosis of maternal and infant
目的：探讨妊娠期高血压疾病（ HDCP）合并胎盘早剥与母婴不良妊娠结局的关系。方法选取2008年5月至2012年12月重庆市巴南区人民医院产科收治的47例HDCP并发胎盘早剥患者（观察组）和47例正常妊娠孕妇（对照组），对比两组妊娠时间、围生期并发症、新生儿体质量、新生儿窒息、呼吸困难以及围生儿病死率。结果观察组孕妇妊娠时间显著短于对照组[（35.2±1.8）周比（39.3±1.6）周，P＜0.01]，同时胎盘子宫卒中、产后弥散性血管内凝血及产后大出血等围生期并发症发生率均显著高于对照组（19.1％比2.1％，21.3％比4.3％，17.0％比2.1％，P ＜0.05或P＜0.01）；观察组新生儿出生体质量显著低于对照组[（2.11±0.52） kg 比（3.67±0.54） kg， P＜0.01]，新生儿窒息、新生儿呼吸困难发生率以及围生儿病死率均显著高于对照组（21.3％比2.1％，19.1％比2.1％，4.5％比0.0％，P＜0.05或P＜0.01）。结论 HDCP并发胎盘早剥严重影响母婴安全与健康，而关于该病最为有效的治疗措施即为终止妊娠。但仍应根据具体情况进行综合考虑，以充分保证母婴安全。
目的：探討妊娠期高血壓疾病（ HDCP）閤併胎盤早剝與母嬰不良妊娠結跼的關繫。方法選取2008年5月至2012年12月重慶市巴南區人民醫院產科收治的47例HDCP併髮胎盤早剝患者（觀察組）和47例正常妊娠孕婦（對照組），對比兩組妊娠時間、圍生期併髮癥、新生兒體質量、新生兒窒息、呼吸睏難以及圍生兒病死率。結果觀察組孕婦妊娠時間顯著短于對照組[（35.2±1.8）週比（39.3±1.6）週，P＜0.01]，同時胎盤子宮卒中、產後瀰散性血管內凝血及產後大齣血等圍生期併髮癥髮生率均顯著高于對照組（19.1％比2.1％，21.3％比4.3％，17.0％比2.1％，P ＜0.05或P＜0.01）；觀察組新生兒齣生體質量顯著低于對照組[（2.11±0.52） kg 比（3.67±0.54） kg， P＜0.01]，新生兒窒息、新生兒呼吸睏難髮生率以及圍生兒病死率均顯著高于對照組（21.3％比2.1％，19.1％比2.1％，4.5％比0.0％，P＜0.05或P＜0.01）。結論 HDCP併髮胎盤早剝嚴重影響母嬰安全與健康，而關于該病最為有效的治療措施即為終止妊娠。但仍應根據具體情況進行綜閤攷慮，以充分保證母嬰安全。
목적：탐토임신기고혈압질병（ HDCP）합병태반조박여모영불량임신결국적관계。방법선취2008년5월지2012년12월중경시파남구인민의원산과수치적47례HDCP병발태반조박환자（관찰조）화47례정상임신잉부（대조조），대비량조임신시간、위생기병발증、신생인체질량、신생인질식、호흡곤난이급위생인병사솔。결과관찰조잉부임신시간현저단우대조조[（35.2±1.8）주비（39.3±1.6）주，P＜0.01]，동시태반자궁졸중、산후미산성혈관내응혈급산후대출혈등위생기병발증발생솔균현저고우대조조（19.1％비2.1％，21.3％비4.3％，17.0％비2.1％，P ＜0.05혹P＜0.01）；관찰조신생인출생체질량현저저우대조조[（2.11±0.52） kg 비（3.67±0.54） kg， P＜0.01]，신생인질식、신생인호흡곤난발생솔이급위생인병사솔균현저고우대조조（21.3％비2.1％，19.1％비2.1％，4.5％비0.0％，P＜0.05혹P＜0.01）。결론 HDCP병발태반조박엄중영향모영안전여건강，이관우해병최위유효적치료조시즉위종지임신。단잉응근거구체정황진행종합고필，이충분보증모영안전。
Objective To discuss the relationship between hypertensive disorder complicating pregnancy (HDCP) combined with maternal placental abruption and poor prognosis of maternal and infant.Methods A total of 47 patients with HDCP combined with maternal placental abruption admitted in Department of Obstetrics,People′s Hospital of Banan District from May 2008 to Dec.2012 were selected as the observation group,and another 47 normal pregnant women were selected as the control group.The gestation time,perina-tal complications,birth weight,incidences of neonatal asphyxia and neonatal dyspnea,and perinatal mortality were compared between the two groups.Results The gestation time of the observation group was significant-ly shorter than that of the control group[(35.2 ±1.8) weeks vs (39.3 ±1.6) weeks,P <0.01],inci-dences of perinatal complications such as placenta uterine stroke ,postpartum disseminated intravascular coag-ulation(DIC),and postpartum hemorrhage of the observation group were significantly higher than those of the control group(19.1% vs 2.1%,21.3% vs 4.3%,17.0% vs 2.1%,P<0.05 or P<0.01);neonatal birth weight of the observation group was significantly lower than the control group [(2.11 ±0.52) kg vs (3.67 ±0.54) kg,P<0.01];incidences of neonatal asphyxia and neonatal respiratory difficulty,and peri-natal child mortality rate of the observation group were significantly higher than those of the control group (21.3% vs 2.1%,19.1% vs 2.1%,4.5% vs 0.0%,P<0.05 or P<0.01).Conclusion HDCP com-bined with placental abruption has serious impact on the health and safety of maternal and infant , the most effective treatment for the disease is termination of pregnancy.But it is still necessary to synthetically consider according to the specific situation in order to fully ensure the safety of maternal and infant .
