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目的:观察妊娠期高血压疾病产妇行剖宫产治疗的临床效果分析及其安全性。方法:选取自2012年2月~2013年2月就诊我院,进行分娩的妊娠期高血压疾病患者100例,分为观察组与对照组,每组患者各50例。观察组采用剖宫产的方式进行治疗,对照组采用阴道分娩的方式进行治疗,观察两组患者的分娩率、产后并发症以及新生儿健康情况等指标,进行比较评价两组的临床治疗效果。结果:观察组的50例产妇均成功分娩,成功率为100%,死亡率为零,对照组的50例产妇成功分娩48例,成功率为96%,死亡2例,死亡率为4%。两组的成功分娩率进行差异分析比较,差异显著,有统计学意义(P<0.05);观察组的50例产妇血压控制均稳定,稳定在130~150/85~90mm Hg;对照组的50例产妇血压控制不稳定,对照组产后大出血3例,其中2例死亡,1例经输血治疗病情改善;新生儿健康情况,观察组50例新生儿均存活,健康新生儿49例,残疾1例;对照组50例新生儿中有48例存活,死亡2例,健康新生儿43例,残疾5例;两组新生儿的健康情况进行统计分析,差异显著,有统计学意义(P<0.05),观察组新生儿相比对照组新生儿健康情况较好,其死亡率和残疾率均低。结论:对妊娠期高血压疾病产妇行剖宫产分娩相比阴道分娩手术安全性更高,产后产妇血压较稳定,并且新生儿的健康状况更好,值得进行临床推广。
Objective: To observe the clinical effect of cesarean section in the treatment of gestational hypertension and its safety. Methods: 100 cases of hypertensive disorder complicating pregnancy who visited our hospital from February 2012 to February 2013 were divided into observation group and control group, with 50 cases in each group. The observation group was treated by cesarean section. The control group was treated by vaginal delivery. The delivery rate, postpartum complications and neonatal health status were observed in two groups. The clinical effects were compared between the two groups. Results: All 50 maternal women in the observation group were successfully delivered. The success rate was 100%. The mortality rate was zero. In the control group, 50 maternal women delivered 48 cases successfully, with a success rate of 96% and 2 deaths, with a mortality rate of 4%. The difference of successful delivery rate between the two groups was statistically significant (P <0.05). The blood pressure of 50 maternal women in the observation group was stable and stable at 130-150/85 to 90 mm Hg. In the control group, 50 3 cases of postpartum hemorrhage in the control group were killed, 2 cases died and 1 case was treated by blood transfusion to improve the condition. In the newborn’s health, 50 newborn babies in the observation group survived, 49 healthy newborns and 1 disabled ; In the control group, 48 of the 50 newborn babies survived, 2 died, 43 healthy newborns and 5 disabled persons. The health status of the two newborns was statistically analyzed with significant difference (P <0.05) , The newborns in the observation group had better health condition than the control group, and the mortality rate and the disability rate were both low. Conclusion: Maternal cesarean delivery in pregnancy with gestational hypertension is more safe than vaginal delivery. The postpartum maternal blood pressure is more stable and the newborn’s health status is better. It is worthy of clinical promotion.