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收集近15年来在我院分娩的妊高征合并胎儿宫内发育迟缓(IUGR)围产儿305例,选择可分析资料263例,应用多元逐步回归分析方法从妊高征病情、新生儿Apgar评分、出生体重、胎龄、分娩方式等多方面探讨妊高征合并胎儿宫内发育迟缓(IUGR)围产儿预后的危险因素。结果显示:新生儿Apgar评分前6位相关因素依次为:子痫与先兆子痫、出生体重、平均动脉压、尿蛋白、产前住院治疗时间及胎龄。围产儿死亡前6位相关因素依次为:新生儿Apgar评分、新生儿出生体重、胎龄、产前住院治疗时间、子痫与先兆子痫及分娩方式。提示:围产儿预后受多因素影响,而妊高征病情危重致新生儿低Apgar评分,出生体重过低及早产是围产儿预后不良的主要危险因素。
305 cases of PIH with intrauterine growth retardation (IUGR) delivered in our hospital during the past 15 years were collected, 263 cases of which were selected for analysis were analyzed. From the aspects of PIH, Apgar score, Birth weight, gestational age, mode of delivery and many other aspects of pregnancy-induced hypertension syndrome associated with intrauterine growth retardation (IUGR) perinatal prognosis risk factors. The results showed that the first six Apgar scores related factors were: eclampsia and preeclampsia, birth weight, mean arterial pressure, urine protein, prenatal hospitalization and gestational age. The first six related factors of perinatal death were Apgar score, newborn birth weight, gestational age, prenatal hospitalization time, eclampsia and preeclampsia, and mode of delivery. Tip: The prognosis of perinatal children affected by many factors, and the severity of pregnancy-induced hypertension induced neonatal low Apgar score, low birth weight and preterm birth are the main risk factors for poor prognosis of perinatal.