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1、妊娠期高血压疾病50例临床疗效分析doi:10.3969/j.issn.1007-614x.2014.21.35摘要目的:探讨妊娠期高血压疾病的妊娠结局。方法:2013年4月-2014年4月收治妊娠期高血压患者50例,同时收集同期非妊娠期高血压产妇50例为对照组,进行比较。结果:妊娠期高血压组发生凝血功能异常4例(8.0%),过期妊娠6例(12.0%),HLELLP综合征3例(6.0%),产后岀血5例(10.0%);对照组发生凝血功能异常1例(2.0%),过期妊娠1例(2.0%),发生产后出血1例(2.0%)
2、;两组比较差异有统计学意义(P<0.05)。妊娠期高血压组治疗后动脉血压、24h尿蛋白明显低于治疗前,24h尿量明显高于治疗前,治疗前后比较有显著性差异(P〈0・05)。妊娠期高血压组发生胎儿窘迫4例(8.0%),新生儿窒息10例(20.0%),低体重儿5例(10.0%),胎儿生长受限4例(8.0%),胎儿畸形5例(10.0%);对照组发生胎儿窘迫、新生儿窒息、低体重儿、胎儿生长受限、胎儿畸形各1例;两组比较差异有统计学意义(P〈0.05)。结论:妊娠期高血压对母婴相关并发症关系密切,应引起临床的关注。关键词
3、妊娠期高血压并发症妊娠结局Analysisofclinicalcurativeeffectof50casesofhypertensivedisorderinpregnancyLiDongmeiObstetricsandGynecologyDepartment,theFifthPeople'sHospitalofZhoukouCity,Ilenan466000AbstractObjective:tostudythegestationalhypertensiondiseasepregnancyoutcome.Me
4、thods:inApril2013-April2014were50patientswithgestationalhypertension,andcollectinthesameperiodofgestationhypertensionmaternal50casesascontrolgroup,thecomparisor)・Results:gestationalhypertensiongroupofcoagulantfunctionabnormalityoccurredin4cases(8.0%),6cases
5、expiredpregnancy(12.0%),HLELLPsyndromein3patients(6.0%),postpartumhemorrhagein5cases(10.0%).Controlgroupoccurred1case(2.0%)hadcoagulantfunctionabnormality,expiredpregnancyin1case(2.0%),inpostpartumhemorrhagein1case(2.0%);Issimilarbetweenthetwogroupswasstati
6、sticallysignificant(P<0.05)・Gestationalhypertensiongroupaftertreatment,24hurineproteinofarterialbloodpressuresignificantlylowerthanbeforetreatment,the24hurineweresignificantlyhigherthanthosebeforetreatment,comparedthesignificantdifferencebeforeandaftertreat
7、ment(P<0.05).Gestationalhypertensionoccursinfetaldistress(8.0%),4casesofneonatalasphyxiain10(20.0%),5cases(10.0%),lowbirthweight,fetalgrowthrestriction(8.0%),4casesoffetalabnormalitiesin5cases(10.0%)•Controlgroupinfetaldistressandneonatalasphyxia,lowbirthwe
8、ight,fetalgrowthrestriction,fetalabnormalitiesin1case;Issimilarbetweenthetwogroupswasstatisticallysignificant(P〈0.05)•Conclusion:hypertensionduringpregnancyonmaternalandinfantcloselyrelatedcomplication