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目的:探讨妊娠期高血压患者的诊治及终止妊娠的时机与方式选择。方法:随机选取2012年10月-2014年10月云南省普洱市中医医院收治的110例妊娠高血压孕妇,回顾性分析患者的临床资料,对比不同孕次产妇终止妊娠方法、并发症及对围生儿的影响。结果:本研究纳入的110例患者中,≤33孕周分娩10例、孕周33~36周分娩17例,>36孕周分娩83例;≤33孕周产妇的围生儿死亡率及窒息率明显高于其他孕周产妇,差异具有统计学意义(P<0.05)。不同孕周产妇并发症发生率差异无统计学意义(P>0.05),剖宫产80例、经阴道分娩30例,剖宫产产妇并发症发生率及围生儿死亡率均低于经阴道分娩产妇,差异具有统计学意义(P<0.05)。结论:对于妊娠高血压产妇来说,终止妊娠时机宜超过33孕周,方式宜选择剖宫产。
Objective: To investigate the diagnosis and treatment of gestational hypertension and the timing and method of termination of pregnancy. Methods: A total of 110 pregnant women with gestational hypertension admitted to Pu’er Hospital of Traditional Chinese Medicine, Yunnan Province from October 2012 to October 2014 were selected randomly. The clinical data of patients were retrospectively analyzed. Complications and complications The impact of birth. Results: Of the 110 patients enrolled in this study, 10 were delivered within 33 weeks of gestation, 17 were delivered at 33 to 36 weeks of gestation, and 83 were delivered within 36 weeks of gestation. Perinatal mortality and asphyxia The rate was significantly higher than other gestational age mothers, the difference was statistically significant (P <0.05). There was no significant difference in the incidence of maternal complications between different gestational weeks (P> 0.05). There were 80 cases of cesarean section and 30 cases of vaginal delivery. The incidence of maternal complications and perinatal mortality in cesarean section were lower than those in vaginal Maternal delivery, the difference was statistically significant (P <0.05). Conclusion: For pregnant women with hypertension, the timing of termination of pregnancy should be more than 33 weeks, the method should choose cesarean section.