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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
