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目的通过对360例妊娠期高血压疾病分类比较分析,探讨新的诊断标准下妊娠期高血压疾病对母儿的影响。方法选择我院2007年1月1日～2009年8月1日在我院住院分娩的孕妇为研究对象,按新诊断标准分类分组:妊娠高血压组、轻度子痫前期组、重度子痫前期组,对比分析三组间母儿发生早产、产后出血、胎盘早剥、胎儿生长受限(FGR)、胎儿窘迫、新生儿窒息情况。结果妊娠高血压组胎儿窘迫、早产的发生率显著低于轻度组;轻度组孕产妇FGR、并发症、围产儿死亡率显著低于重度组(P<0.01);妊娠期高血压组产后大出血的发生率显著低于轻度组,轻度组产后出血、早产、新生儿窒息、胎儿窘迫显著低于重度组(P<0.05)。结论妊娠期高血压疾病严重影响妊娠结局,加强孕期保健以改善母儿不良结局。
Objective To compare and analyze the classification of 360 cases of hypertensive disorder complicating pregnancy, and to explore the impact of the new diagnostic criteria on maternal and fetal hypertensive disorders during pregnancy. Methods Select pregnant women hospitalized for delivery in our hospital from January 1, 2007 to August 1, 2009 as the research object, according to the new diagnostic criteria grouping: pregnancy-induced hypertension group, mild preeclampsia group, severe eclampsia Preterm group, comparative analysis of three groups of maternal premature birth, postpartum hemorrhage, placental abruption, fetal growth restriction (FGR), fetal distress, neonatal asphyxia. Results The incidence of fetal distress and prematurity in pregnancy-induced hypertension group was significantly lower than that in mild group. FGR, complications and perinatal mortality in pregnant women with mild pregnancy were significantly lower than those in severe pregnancy (P <0.01) The incidence of major bleeding was significantly lower than that in mild group. The mild group had postpartum hemorrhage, premature birth, neonatal asphyxia and fetal distress were significantly lower than those in severe group (P <0.05). Conclusions Hypertensive disorders in pregnancy seriously affect the pregnancy outcome, and strengthen the health care during pregnancy to improve maternal and child adverse outcomes.