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目的探讨妊娠高血压综合征(妊高征)患者的眼底变化及动态观察对判断孕产妇及围生儿预后的意义。方法对480例妊高征患者的临床资料进行回顾性分析。结果①480例妊高征患者眼底改变达90.4%。②眼底改变及严重程度与妊高征的严重程度成正比;视网膜病变越严重,早产、产后出血及胎盘早剥的发生率也越高,孕产妇并发症也越多,胎儿窘迫、新生儿窒息、围生儿死亡及新生儿发病率越高。结论眼底动态观察,对早期诊断妊高征,适时终止妊娠,判断孕产妇及围生儿预后,具有重要意义。
Objective To investigate the changes of ocular fundus in patients with pregnancy-induced hypertension (PIH) and its dynamic observation to evaluate the prognosis of pregnant women and perinatal children. Methods The clinical data of 480 patients with PIH were retrospectively analyzed. Results ① The changes of fundus in 480 pregnant women with PIH reached 90.4%. ② fundus changes and the severity of PIH severity is proportional to; the more serious retinopathy, preterm birth, postpartum hemorrhage and the higher the incidence of placental abruption, maternal complications, fetal distress, neonatal asphyxia , Perinatal mortality and neonatal morbidity higher. Conclusions The fundus dynamic observation is of great significance for the early diagnosis of PIH, timely termination of pregnancy, and prognosis of pregnant women and perinatal children.