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目的评估支气管哮喘与妊娠的相互影响。方法回顾分析1984~1996年在我院分娩的98例支气管哮喘合并妊娠患者的临床资料。结果孕前哮喘发作≥3次/a者孕期哮喘发作次数增加;孕期哮喘发作频繁者新生儿平均体重低,小于胎龄儿发生率高。产(术)时及产(术)后预防性应用糖皮质激素则产后哮喘发作概率减少。结论孕前应积极控制哮喘发作;建议产(术)时及产(术)后预防性应用糖皮质激素。
Objective To assess the interaction between bronchial asthma and pregnancy. Methods The clinical data of 98 patients with bronchial asthma with pregnancy who were delivered in our hospital from 1984 to 1996 were retrospectively analyzed. Results Pre-pregnancy asthma attack ≥ 3 times / a increase in the number of asthma attacks during pregnancy; frequent episodes of asthma during pregnancy average neonatal weight is low, less than the high incidence of gestational age children. Production (surgery) and (postoperative) prophylactic glucocorticoid postpartum asthma attack probability decreased. Conclusion Pre-pregnancy should be actively controlled asthma attacks; recommended production (surgery) and prophylactic (glucocorticoid therapy).