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目的探讨妊娠期高血压疾病并发症的发生及围产儿的结局。方法选择2005年7月-2011年12月江苏省丹阳市第二人民医院收治的妊娠期高血压疾病患者508例,将其分为A组(妊娠期高血压)、B组(轻度子痫前期)、C组(重度子痫前期),比较3组孕妇并发症的发生及围产儿结局等方面的差异。结果 3组患者并发症发生率分别为16.8%、22.8%、76.4%,C组并发症发生率明显高于A组和B组,3组患者新生儿窒息率、胎儿生长受限率(FGR)、围产儿死亡率比较,C组明显高于A组和B组。结论妊娠期高血压患者病情越严重,发生并发症的风险越高,但病情呈一定的发展过程,进展到一定程度才会影响母婴预后,要加强对该病的监护、临床治疗,选择合适的分娩时机,才能抢救母婴生命、改善母婴预后。
Objective To investigate the incidence of complications of hypertensive disorder complicating pregnancy and the outcome of perinatal infants. Methods From July 2005 to December 2011, 508 cases of hypertensive disorder complicating pregnancy in Second People’s Hospital of Danyang City, Jiangsu Province were divided into group A (gestational hypertension), group B (mild eclampsia Early stage), group C (severe preeclampsia), comparisons of the incidence of complications in the three groups of pregnant women and perinatal outcomes. Results The complication rates of the three groups were 16.8%, 22.8% and 76.4% respectively. The complication rates in group C were significantly higher than those in group A and group B. The rates of neonatal asphyxia, fetal growth restriction (FGR) , The perinatal mortality rate was significantly higher in group C than in group A and group B. Conclusion The more serious the disease is in hypertensive patients of pregnancy, the higher the risk of complication is, but the condition is a certain developmental process. To a certain extent, it will affect the prognosis of maternal and infant. To strengthen the monitoring, clinical treatment and proper choice of the disease The timing of childbirth in order to rescue mother and child life, improve maternal and child prognosis.