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目的探讨高龄产妇并发妊娠期高血压疾病与妊娠结局的关系。方法选取2013年7月~2014年12月在该院分娩的妊娠期高血压疾病产妇429例为研究对象,设高龄并发妊娠期高血压疾病产妇82例为观察组,35岁以下并发妊娠期高血压疾病产妇347例为对照组,观察两组产妇妊娠期并发症发生情况、妊娠结局等。结果观察组产妇胎盘早剥、胎膜早破、早产的发生率分别为9.76%、17.07%和19.51%,高于对照组,差异有统计学意义(P<0.05);两组妊娠期高血压疾病心脏病、产后出血、HELLP综合征及肝肾损害发生率比较,差异无统计学意义(P>0.05);观察组重度子痫前期及子痫发生率分别为41.46%和4.88%,明显高于对照组,差异有统计学意义(P<0.05);观察组剖宫产比例为47.56%,明显高于对照组的29.68%,差异有统计学意义(P<0.05);观察组胎儿生长受限、围产儿死亡发生率分别为10.98%和6.10%,明显高于对照组,差异有统计学意义(P<0.05);两组胎儿窘迫、新生儿窒息和畸形发生率比较,差异无统计学意义(P>0.05)。结论高龄产妇并发妊娠期高血压疾病对产妇以及胎儿的危害较大,必要时适时终止妊娠,应提倡适龄婚育。
Objective To investigate the relationship between gestational hypertension and pregnancy-induced hypertension among the elderly mothers. Methods A total of 429 pregnant women with gestational hypertension who were delivered in our hospital from July 2013 to December 2014 were selected as study objects. 82 pregnant women with senile hypertensive disorder complicating pregnancy were selected as the observation group, and 35 under the age of gestational hypertension 347 cases of blood pressure sick women as a control group, observe the incidence of complications during pregnancy, pregnancy outcome and so on. Results The incidence of placental abruption, premature rupture of membranes and premature delivery in observation group were 9.76%, 17.07% and 19.51%, respectively, which were significantly higher than those in control group (P <0.05). The incidence of gestational hypertension Disease heart disease, postpartum hemorrhage, HELLP syndrome and the incidence of liver and kidney damage, the difference was not statistically significant (P> 0.05); the observation group severe preeclampsia and eclampsia rates were 41.46% and 4.88%, significantly higher (P <0.05). The proportion of cesarean section in the observation group was 47.56%, which was significantly higher than that in the control group (29.68%), the difference was statistically significant (P <0.05). The fetal growth in the observation group The incidence of perinatal death was 10.98% and 6.10% respectively, which was significantly higher than that of the control group (P <0.05). There was no significant difference in fetal distress, neonatal asphyxia and deformity between the two groups Significance (P> 0.05). Conclusions Elderly pregnant women with hypertensive disorder complicating pregnancy are more harmful to maternal and fetus. If necessary, termination of pregnancy should be timely and appropriate age should be advocated.