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目的:分析妊娠期合并心衰对母婴结局的影响。方法:对富阳市妇幼保健院2009年1月-2011年10月收治的36例妊娠合并心衰患者的临床资料进行回顾性分析。结果:36例心衰孕妇中,剖宫产25例(69.44%),低位产钳1例(2.78%),胎吸引术5例(13.89%),顺产5例(13.89%);心衰妊娠组与非心衰对照组比较,剖宫产和顺产有统计学差异(χ2分别=14.49和20.36,P分别=0.0001和0.0000),低位产钳与胎吸引术无统计学差异(χ2分别=0.36和1.49,P分别=0.55和0.22),产后出血与心衰复发、早产与胎儿窘迫、新生儿窒息与低体重儿发生率心衰组显著高于对照组(P<0.01),无母婴死亡。结论:妊娠合并心衰严重危及母婴生命安全,应积极治疗原发疾病,去除诱因,加强孕期监测,适时终止妊娠能有效改善对母婴结局的影响。
Objective: To analyze the influence of pregnancy complicated with heart failure on maternal and infant outcomes. Methods: The clinical data of 36 pregnant women with pregnancy complicated with heart failure admitted to Fuyang MCH from January 2009 to October 2011 were retrospectively analyzed. Results: Among 36 pregnant women with heart failure, 25 cases (69.44%) were cesarean section, 1 case (2.78%) with low forceps, 5 cases (13.89%) with fetal suction and 5 cases There was a statistically significant difference between cesarean section and cesarean section (χ2 = 14.49 and 20.36, respectively, P = 0.0001 and 0.0000, respectively) in non-heart failure control group. There was no significant difference between low forceps and fetus aspiration (χ2 = 0.36 and 1.49 , P = 0.55 and 0.22 respectively), postpartum hemorrhage and heart failure, premature birth and fetal distress, neonatal asphyxia and low birth weight infants were significantly higher in HF group than in control group (P <0.01). Conclusion: Pregnancy complicated with heart failure seriously threatens maternal and infant life safety. Active treatment of primary disease, removal of predisposition, monitoring during pregnancy and timely termination of pregnancy can effectively improve the maternal and infant outcomes.