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目的观察分析妊娠期高血压合并先兆子痫对新生儿结局的影响及治疗中的注意事项。方法回顾性分析259例妊娠期高血压合并先兆子痫患者新生儿为观察组,分析其一般资料及治疗方法,并与对照组500例健康孕产妇新生儿结局进行对比观察,分析其新生儿结局特点。结果观察组胎儿窒息、胎儿窘迫、宫内发育迟缓、胎死宫内、早期死亡的发生率(39.8%、51.0%、31.3%、1.9%、13.5%)均大于对照组(7.2%、12.2%、6.8%、0.4%、2.4%),差异有统计学意义(P<0.05);随子痫发生次数增多,新生儿发生窒息、胎儿窘迫、宫内发育迟缓的数量逐步增多,围产期病死率逐步提高。结论妊娠慢性高血压合并先兆子痫前期患者新生儿,孕婴围产期结局不佳,及早给予全面的产前检查,加强宫内胎盘功能监测,评估胎儿的成熟度,预防子痫,对新生儿需加强监护,积极治疗,预防并发症,定期复查监测,早期干预,以改善新生儿结局,减少并发症,降低病死率。
Objective To observe and analyze the influence of gestational hypertension and preeclampsia on neonatal outcome and the precautions in the treatment. Methods A total of 259 neonates with gestational hypertension complicated with preeclampsia were retrospectively analyzed. The general data and treatment methods were analyzed. The results were compared with the neonatal outcomes of 500 healthy pregnant women in the control group. The neonatal outcomes were analyzed Features. Results The incidence of fetal death, fetal distress, intrauterine growth retardation and fetal death in the observation group were significantly higher than those in the control group (7.2%, 12.2%, 39.8%, 51.0%, 31.3%, 1.9%, 13.5% , 6.8%, 0.4% and 2.4%, respectively), the difference was statistically significant (P <0.05). With the increase of the number of eclampsia, the number of neonatal asphyxia, fetal distress and intrauterine growth retardation gradually increased, The rate gradually increased. Conclusions Pregnancy-induced hypertension in pregnant women with preeclampsia has a poor perinatal outcome, early comprehensive prenatal care, intrauterine placental function monitoring, assessment of fetal maturity, prevention of eclampsia and neonatal Children need to strengthen custody, active treatment, prevention of complications, regular review and monitoring, early intervention to improve neonatal outcomes, reduce complications and reduce mortality.