64例瘢痕子宫合并妊娠高血压疾病患者的临床分析

党冬英

大荔县妇幼保健院，陕西 渭南，715100

浏览次数：103次 下载次数：415次

摘要：

目的 分析瘢痕子宫合并妊娠高血压疾病患者的母婴结局。方法 选取在我院妇产科分娩的 150例产妇，将 75例瘢痕子宫合并妊娠高血压疾病的患者设为观察组，另外 75例单纯妊娠高血压疾病者设为对照组，比较两组患者的母婴结局。结果 观察组胎盘早剥和 DIC 发生率明显高于对照组（P＜0.05）。观察组早产、产后出血、子宫切除、子宫破裂、低出生体重儿、新生儿窒息、围生儿死亡发生率均明显高于对照组（P＜0.05）。两组单纯妊娠期高血压和轻度子痫前期患者在新生儿窒息、低出生体重儿、围生儿死亡发生率上的差异无统计学意义（P＞0.05），早产儿的发生率比较差异有统计学意义（P＜0.05）；观察组的重度子痫前期患者的早产儿、新生儿窒息、低出生体重儿、围生儿死亡发生率明显高于对照组重度子痫前期患者（P＜0.05）。结论 瘢痕子宫合并妊娠高血压疾病患者的母婴结局存在较高风险，且高血压疾病程度越重，则母婴结局越差。因此，对于该类产妇，分娩前应严密监测，并做好术前准备，采取积极干预措施，确保母婴安全。

关键词： 瘢痕子宫；妊娠高血压；剖宫产

中图分类号： R614文献标志码：A文章编号：2096-1413(2018)07-0138-02

Clinical analysis of 64 cases of scar uterine combine with pregnancy
induced hypertension


DANG Dong-ying
(Maternal and Child Health Care Hospital of Dali County,Weinan 715100,China)



ABSTRACT: Objective To analyze the maternal and fetal outcomes of patients with scaruterine combine with pregnancy induced hypertension. Methods One hundred and fifty cases of pregnancy were selected as the research objects,the observation group were seventy five cases of scaruterine combine with pregnancy induced hypertension, the control group were seventy-five cases of simple pregnancy induced hypertension.The maternaland fetal outcomes of the two groups were observed and compared.  Results The incidences of placental abruption and DIC in the observation group were significantly higher than those in the control group (P<0.05).The incidences of premature delivery,postpartum hemorrhage,hysterectomy,uterinerupture, low birth weight infants, neonatalasphyxia and perinatal death in the observation group were significantly higher than those in the controlgroup (P<0.05).There was no significant difference in the incidence of neonatalasphyxia,low birt weight infants and perinatal deaths in patients with simple pregnancy and mild preeclamp siain the two groups (P>0.05),and the difference in the incidence ofpreterm infants was statistically significant(P<0.05).The incidences of preterm infants neonatalasphyxia,low birth weight children, perinatal mortality of pregnant women with severe preeclampsiain the observation group were significantly higher than those of the control group (P<0.05). Conclusion There is higher risk in the maternal and child outcomes for patients withs caruterine combine with pregnancy induced hypertension,and the greater the degree of hypertension,the worse of the maternal and child outcomes.The clinic should beclosely monitored before delivery,preoperative preparation and take active in tervention measures to ensure the safety of mother and child.  　           

KEYWORDS: scaruterus; pregnancy induced hypertension; cesarean section

参考文献：
[1] 任雁林 , 张玉虹 , 王丽 , 等 . 剖宫产后再次妊娠人工流产手术失利 3例报告 [J]. 第二军医大学学报 ,2014,35(5):577-579.
[2] 吕祝武 , 张晓路 . 瘢痕子宫再次妊娠风险的临床分析 [J]. 实用医学杂志 ,2015,31(22):3812-3813.
[3] 赫英东 , 杨慧霞 . 瘢痕子宫妊娠期间子宫破裂的早识别与处理 [J].中国计划生育和妇产科 ,2016,8(7):1-2.
[4] 李迎春 , 郭遂群 , 张易 , 等 . 妊娠期高血压疾病的病因分析 [J]. 实用医学杂志 ,2014,11(12):1853-1855.
[5] GOYET M ,BUJOLD E.Single versus double layer closure and therisk ofuterine rupture:a multicentre VBAC study[J].Am J ObstetGynecol,2005,193(6):S20.
[6] 陈璇 . 妊娠期高血压疾病对母婴结局的影响 [J]. 中国医药导刊 ,2013,11(7):1143.