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目的探讨妊娠合并心脏病患者对母儿预后结局的影响。方法选取2000年5月至2010年5月在我院分娩的妊娠合并心脏病孕妇68例患者相关临床资料进行回顾性分析。结果以先天性心脏病居多,占33.8%,其次风湿性心脏病占26.5%,心功能Ⅰ-Ⅱ级38例,占55.9%,Ⅲ-Ⅳ级30例,占44.1%。心功能Ⅰ-Ⅱ级者多能足月妊娠,早产率20.68%,新生儿平均体重(2580±502)g。心功能Ⅰ-Ⅱ级与Ⅲ-Ⅳ级的早产率及新生儿体重的差异均有统计学意义(P<0.05),分娩方式为剖宫产49例,占72.05%,阴道分娩19例,占27.94%,无孕产妇死亡。结论妊娠合并心脏病类型及孕产妇心功能状态直接影响围生儿质量。孕产前积极治疗原发病及合并症或施行心脏手术能明显改善心功能,使妊娠有良好结局。
Objective To investigate the effect of pregnancy in patients with heart disease on prognosis of maternal and child. Methods The clinical data of 68 pregnant women with pregnancy complicated with heart disease who were delivered in our hospital from May 2000 to May 2010 were retrospectively analyzed. The results were mostly congenital heart disease, accounting for 33.8%, followed by rheumatic heart disease accounted for 26.5%, heart function Ⅰ-Ⅱ 38 cases, accounting for 55.9%, Ⅲ-Ⅳ grade 30 cases, accounting for 44.1%. Cardiac function Ⅰ-Ⅱ multi-term gestational pregnancy, premature birth rate was 20.68%, the average neonatal weight (2580 ± 502) g. There were significant differences in preterm birth rate and neonatal body weight between Ⅰ-Ⅱ and Ⅲ-Ⅳ grades of cardiac function (P <0.05). The mode of delivery was 49 cases of cesarean section (72.05%), vaginal delivery in 19 cases 27.94%, no maternal deaths. Conclusions Pregnancy complicated with heart disease and maternal cardiac status directly affect the quality of perinatal infant. Active treatment of primary disease before pregnancy and complications or cardiac surgery can significantly improve cardiac function, pregnancy has a good outcome.