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目的:探讨重度妊娠期高血压疾病及严重并发症对母儿的影响和防治措施。方法:对2004年1月～2007年12月该院住院分娩的重度子痫前期患者394例孕妇临床资料进行分析,按其发病孕周分为早发型和晚发型重度子痫前期。采取心理疏导和六项干预措施,分析母婴并发症及结局。结果:发生严重并发症者共167例,占42.38%;早发型严重并发症103例,占61.68%,晚发型严重并发症64例,占38.32%,差异有统计学意义(P<0.05)。早发型受累第一位是胎盘损害,占35.59%,晚发型占4.71%,晚发型第一位受损为心脏,心衰占8.70%,早发型占3.39%,两组差异均有统计学意义(P<0.01);早发型围生儿死亡率明显高于晚发型,干预后子痫、合并心衰、肾功能损害、围生儿死亡率等发生率均低于相关报道。结论:重度妊娠期高血压疾病及并发症严重威胁母婴健康,特别是早发型其危害更大,是造成妊娠期高血压疾病不良预后的直接原因,心理疏导和六项干预措施可降低妊娠期高血压疾病的预后风险。
Objective: To investigate the effects of severe pregnancy-induced hypertension and serious complications on maternal and child and prevention and treatment. Methods: The clinical data of 394 pregnant women with severe preeclampsia hospitalized in our hospital from January 2004 to December 2007 were analyzed. According to their gestational age, they were divided into early-onset and late-onset severe preeclampsia. Take psychological counseling and six interventions to analyze maternal and child complications and outcomes. Results: There were 167 cases (42.38%) with serious complications, 103 cases with early-onset serious complications (61.68%), 64 cases with late-onset serious complications (38.32%), the difference was statistically significant (P <0.05). Early hair loss involved the first one is placental damage, accounting for 35.59%, 4.71% late hair type, late hair loss for the first heart failure, heart failure accounted for 8.70%, 3.39% early hair type, the two groups were statistically significant differences (P <0.01). The incidence of early-onset perinatal mortality was significantly higher than that of late-onset, and the incidence of eclampsia, heart failure, renal dysfunction, and perinatal mortality were lower than those reported. Conclusion: Severe pregnancy-induced hypertension and its complications threaten the health of mothers and infants, especially the early-onset type, which is more harmful and is the direct cause of the adverse prognosis of hypertensive disorders in pregnancy. Psychological counseling and six interventions can reduce the incidence of gestational age Prognosis risk of hypertension.