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1985年1月～1992年6月产科收治原发性高血压合并妊娠34例(35次分娩),占同期分娩数的0.71％。结果表明,孕期未发生其它并发症者母、婴预后良好。妊高征为最常见的并发症,发生率48.6％。体重指数>25,缺乏正规围产保健和基础血压≥21.3/13.3kPa是发生该征的危险因素。并发妊高征者早产、胎盘早剥、产后出血、小于胎龄儿及围产儿死亡的发生率均增加;发生于≤30孕周时胎儿预后不良。从优生角度出发,对此类孕妇及时给予中止妊娠或许是上策。提出加强围产期管理,防止妊高征发生或推迟其发生时间是改善母、婴预后的关键,并阐述了具体措施。
From January 1985 to June 1992, 34 cases of primary hypertension complicated by pregnancy (35 deliveries) were obstetric, accounting for 0.71% of the number of deliveries in the same period. The results showed that pregnancy and other complications did not occur in both mother and infant prognosis is good. PIH is the most common complication, the incidence of 48.6%. Body mass index> 25, the lack of formal perinatal care and basic blood pressure ≥ 21.3 / 13.3kPa is the risk factor for the occurrence of the syndrome. The incidence of preeclampsia, placental abruption, postpartum hemorrhage, small gestational age and perinatal mortality were all increased in patients with concurrent PIH; the fetal prognosis was poor at ≤30 gestational weeks. From an eugenics point of view, timely termination of pregnancy for such pregnant women may be the best policy. Proposed to strengthen perinatal management to prevent or delay the occurrence of pregnancy-induced hypertension is the key to improving the prognosis of both mother and infant, and set forth specific measures.