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目的:探究与分析妊娠期高血压终止妊娠的时机及分娩方式的选择。方法:回顾性分析我院自2012年12月至2013年12月收治的80例妊娠期高血压患者的临床资料。结果:选择阴道产较剖宫产相比新生儿窒息率明显升高(P<0.05)。产妇分别在32周以下、32至34周以及34周以上进行分娩后的新生儿出生体重具有显著差异,且随着孕周的增长,体重也随之增加(P<0.05)。32周以下分娩出的新生儿窒息率最高,其余依次为在32至34周、34周以上分娩出的新生儿(P<0.05)。该组产妇均未出现死亡病例,后逐渐康复出院。结论:妊娠期高血压患者在选择妊娠时机及分娩方式上应根据患者个体病情,治疗情况,孕周来判断,以最大限度的降低新生儿窒息发生率,减少产妇产后出血量,保证母婴的生存质量。
Objective: To explore and analyze the timing of gestational hypertension termination of pregnancy and choice of mode of delivery. Methods: The clinical data of 80 patients with gestational hypertension treated in our hospital from December 2012 to December 2013 were retrospectively analyzed. Results: Compared with cesarean section, vaginal birth rate was significantly higher (P <0.05). The birth weight of newborns after giving birth was less than 32 weeks, 32 to 34 weeks and over 34 weeks, respectively. There was a significant difference in body weight between the two groups (P <0.05). Neonatal asphyxia rates were highest in those born 32 weeks or less, followed by newborns 32 weeks to 34 weeks and those 34 weeks or older (P <0.05). The mothers did not appear in this group of deaths, and gradually recovered after discharge. Conclusion: Hypertensive patients with gestational hypertension in pregnancy should choose the timing and mode of delivery based on individual patient condition, treatment, gestational age to judge, in order to minimize the incidence of neonatal asphyxia, reduce maternal postpartum hemorrhage, to ensure that mothers and children Quality of Life.