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目的探讨瘢痕子宫妊高征产妇的妊娠结局。方法对102例妊娠高血压产妇进行研究,包括44例有剖宫产史并再次妊娠的产妇(设为观察组),其余58例产妇无剖宫产史(设为对照A组),另选同期于医院分娩的正常产妇63例(设为对照B组),对比三组妊娠结局。结果观察组早产、剖宫产、子宫破裂、新生儿窒息、围产期胎儿死亡发生率明显高于对照A组与对照B组,差异有统计学意义(P<0.05);对照A组上述指标发生率高于对照B组,差异有统计学意义(P<0.05)。对照B组妊娠并发症发生率明显低于观察组与对照A组,差异有统计学意义(P<0.05);观察组与对照A组妊娠并发症发生率比较,差异无统计学意义(P>0.05)。重度子疒间前期早产儿、新生儿窒息、低出生质量儿、围产期胎儿死亡发生率高于单纯妊娠高血压及轻度子疒间前期产妇(P<0.05),轻度子疒间前期产妇除围产期胎儿死亡与单纯妊娠高血压比较,无显著差异外,其他指标均高于单纯妊娠高血压产妇,差异有统计学意义(P<0.05)。结论与正常产妇及非瘢痕子宫妊高征产妇相比,瘢痕子宫妊高征对母婴安全产生较大影响,妊娠结局预后不良;孕期应加强监护,并采用积极干预措施,保障母婴安全。
Objective To investigate the pregnancy outcome of hypertensive fetus with uterine scar. Methods A total of 102 pregnant women with gestational hypertension were enrolled in this study, including 44 women with history of cesarean section and re-pregnancy (set as observation group). The remaining 58 women had no history of cesarean section (control group A) The same period in the hospital delivery of normal maternal 63 cases (set as control B group), compared with three groups of pregnancy outcomes. Results The incidence of preterm birth, cesarean section, uterine rupture, neonatal asphyxia and perinatal fetal death in observation group was significantly higher than that in control group A and control group B (P <0.05). In control group A, the above indexes The incidence was higher than the control group B, the difference was statistically significant (P <0.05). The incidence of pregnancy complications in control group B was significantly lower than that in observation group and control group A (P <0.05). There was no significant difference in the incidence of pregnancy complications between observation group and control group A (P> 0.05). The incidence of prenatal premature infants, neonatal asphyxia and low birth weight infants with severe preterm infants was higher than that of prenatal maternal hypertension and mild preeclampsia (P <0.05), mild preeclampsia Except the perinatal period fetal death and simple pregnancy-induced hypertension, no significant difference in other indicators were higher than simple pregnancy-induced hypertension in women, the difference was statistically significant (P <0.05). Conclusion Compared with normal pregnant and non-hypertensive women with non-scarring uterine fibrosis, pregnancy-induced hyperthyroidism has a greater impact on maternal and child safety, with poor prognosis. Pregnancy should be monitored intensively and positive interventions should be taken to ensure maternal and child safety.