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目的:探讨不同类型妊娠高血压疾病(PIH)对产妇妊娠结局的影响。方法:选取2011年1月~2013年12月我妇产科院收治的妊娠期出现高血压症状的产妇106例为观察组,并选取同期正常孕产妇100例为对照组,根据诊断标准将观察组患者再分为PIH组(75例)、子痫前期组(21例)以及子痫组(10例),对比4组产妇的胎儿窘迫、胎盘早剥、早产、剖宫产、产后出血以及新生儿窒息的发生率。结果:观察组产妇的胎儿窘迫、胎盘早剥、早产、剖宫产、产后出血以及新生儿窒息的发生率明显高于对照组,差异有统计学意义(P<0.05);妊娠期高血压组、子痫前期组、子痫组的胎儿窘迫、胎盘早剥、早产、剖宫产、产后出血以及新生儿窒息的发生率,依次升高,差别有统计学意义(P<0.05)。结论:应正确认识到不同类型PIH对妊娠结局的影响以及其并发症的规律,做好预防措施,以减少不良妊娠结局的发生。
Objective: To investigate the effect of different types of pregnancy-induced hypertension (PIH) on maternal pregnancy outcome. Methods: From January 2011 to December 2013, 106 cases of pregnancy induced hypertension in pregnant women admitted to our department of gynecology and obstetrics from January 2011 to December 2013 were selected as the observation group. The patients were further divided into PIH group (75 cases), preeclampsia group (21 cases) and eclampsia group (10 cases). Fetal distress, placental abruption, premature labor, cesarean section, postpartum hemorrhage, Neonatal asphyxia incidence. Results: The incidences of fetal distress, placental abruption, premature delivery, cesarean section, postpartum hemorrhage and neonatal asphyxia in the observation group were significantly higher than those in the control group (P <0.05). The gestational hypertension group , Preeclampsia, eclampsia group fetal distress, placental abruption, premature delivery, cesarean section, postpartum hemorrhage and the incidence of neonatal asphyxia, followed by increased, the difference was statistically significant (P <0.05). Conclusions: The influence of different types of PIH on pregnancy outcome and its complications should be correctly recognized, and preventive measures should be taken to reduce the incidence of adverse pregnancy outcomes.