吴鹏,陶婷,吴仕元.不同年龄产妇并发妊娠期高血压疾病围产期结局分析.[J].中南医学科学杂志.,2019,(6):633-636.
不同年龄产妇并发妊娠期高血压疾病围产期结局分析
Analysis of perinatal outcomes of hypertensive disorder complicating pregnancy in different ages
投稿时间:2019-08-30  修订日期:2019-10-05
DOI:10.15972/j.cnki.43-1509/r.2019.06.018
中文关键词:  妊娠期高血压疾病  产妇  围产期结局  并发症
英文关键词:hypertensive disorder complicating pregnancy  maternal  perinatal outcome  complications
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作者单位
吴鹏 衡阳市妇幼保健院,湖南 衡阳 421001
岳阳市妇幼保健院,湖南 岳阳 414000 
陶婷 岳阳市妇幼保健院,湖南 岳阳 414000 
吴仕元 岳阳市妇幼保健院,湖南 岳阳 414000 
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中文摘要:
      为探讨不同年龄产妇并发妊娠期高血压疾病与围产期结局的关系,选取在本院分娩的妊娠期高血压疾病产妇181例为研究对象,设高龄(≥35岁)并发妊娠期高血压疾病产妇48例为观察组,35岁以下并发妊娠期高血压疾病产妇133例为对照组。观察两组产妇妊娠、分娩期并发症发生情况与妊娠结局。结果表明,与对照组相比,观察组产妇早发型子痫前期、低出生体重、早产的发生率均显著增高,重度子痫前期、妊娠高血压疾病合并妊娠期糖尿病、产后出血发生率均高,但差异无统计学意义 (P>0.05);本研究表明高龄产妇并发妊娠期高血压疾病对母婴危害大,围产期并发症多,应加强孕期及分娩期风险识别与管理,加强围孕期健康宣教,提高孕产妇自我保护意识,确保母婴安全。
英文摘要:
      To explore the relationship between maternal hypertensive disorder and perinatal outcomes in different ages, 181 cases of pregnant women with hypertensive disorder of pregnancy who were delivered in our hospital were selected as subjects. The elderly (≥35 years old) with gestational hypertension were included in the observation group, and 133 women under 35 years old were served as control group. The maternal pregnancy, the complications of childbirth and the pregnancy outcome were observrd. Results showed,compared to the control group, the incidences of early preeclampsia, low birth weight and preterm birth in the observation group were significantly higher, but the incidence of severe preeclampsia, pregnancy-induced hypertension, gestational diabetes, and postpartum hemorrhage of the two groups had no statistically significant difference (P> 0.05); Due to the existence of many perinatal complication, older maternal complicated with hypertensive disorder complicating pregnancy is more harmful to mother and child. Therefore, it is necessary to improve the identification and management of risk, the perinatal-health education, the self-protection awareness of pregnant women, as well as the safety of the mother and baby during the period of pregnancy and childbirth.
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