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妊娠合并心脏病并发心力衰竭的危险因素分析

发布时间:2018-04-23 21:41

  本文选题:妊娠合并心脏病 + 心力衰竭 ; 参考:《中国妇产科临床杂志》2017年05期


【摘要】:目的探讨合并心脏病的孕产妇发生心力衰竭的危险因素。方法回顾分析于河南省新乡医学院第一附属医院接受治疗的344例合并心脏病的孕产妇的临床资料,发生心力衰竭的61例患者作为观察组,同期未发生心力衰竭的258例患者作为对照组。给予发生心力衰竭的孕产妇急救治疗,并分别采用单因素、多因素Logistic回归法分析合并心脏病孕产妇并发心力衰竭的危险因素。结果基础心率100次/min、先天性心脏病、围生期心肌病、风湿性心脏病、PAP50 mm Hg、年龄≥35岁、孕前发生心脏事件、早孕期心功能分级≥Ⅱ级是心脏病孕产妇发生心力衰竭的独立危险因素(P0.05),而孕前咨询和产前检查≥6次是其保护性因素(P0.05)。结论合并心脏病孕产妇并发心力衰竭受多种因素影响,在临床中应对危险因素干预或规避,并帮助患者积极实现保护性因素,从而降低心力衰竭的发生率。
[Abstract]:Objective to investigate the risk factors of heart failure in pregnant women with heart disease. Methods Clinical data of 344 pregnant women with heart disease were retrospectively analyzed in the first affiliated Hospital of Xinxiang Medical College of Henan Province. 61 patients with heart failure were treated as observation group. In the same period, 258 patients without heart failure were used as control group. First aid treatment was given to pregnant women with heart failure, and the risk factors of heart failure in pregnant women with heart disease were analyzed by single factor and multivariate Logistic regression method. Results the heart rate was 100 rpm, congenital heart disease, perinatal cardiomyopathy, rheumatic heart disease, PAP50mm Hg, age 鈮,

本文编号:1793732

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