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目的:探讨妊娠期高血压疾病临床特点与治疗方法及其对妊娠结局的影响。方法:回顾性分析该院2007～2009年收治的24例妊娠期高血压疾病患者的临床资料,并选取78例同期住院分娩的正常妊娠孕妇作为对照,研究妊娠期高血压疾病对分娩方式、母婴预后的影响。结果:①通过解痉、降压、镇静、合理的扩容及利尿,适时终止妊娠等有效措施,24例妊娠期高血压疾病全部治愈。②妊娠期高血压疾病组胎儿宫内窘迫、剖宫产、早产儿、低出生体重(体重<2 500 g)、围生儿死亡、产后出血的发生率明显高于对照组(P<0.05)。结论:妊娠期高血压疾病严重危害母婴健康,早期发现、积极预防、合理治疗可大幅改善妊娠期高血压疾病的预后。
Objective: To investigate the clinical features and treatment of hypertensive disorder complicating pregnancy and its effect on pregnancy outcome. Methods: The clinical data of 24 patients with gestational hypertension admitted from 2007 to 2009 in our hospital were retrospectively analyzed. 78 pregnant women with normal pregnancy who were hospitalized in the same period were selected as the control group to study the effects of gestational hypertension on the mode of delivery, Impact of infant prognosis. Results: (1) 24 cases of hypertensive disorder complicating pregnancy were cured by effective measures of spasmolytic, antihypertensive, sedative, reasonable dilatation and diuresis, timely termination of pregnancy. (2) The incidence of fetal distress, cesarean section, premature infant, low birth weight (body weight <2500 g), perinatal death and postpartum hemorrhage in hypertensive disorder group were significantly higher than those in control group (P <0.05) . Conclusion: Hypertensive disorders in pregnancy seriously endanger the health of mothers and infants. Early detection, positive prevention and reasonable treatment can significantly improve the prognosis of hypertensive disorders during pregnancy.