重度子痫前期患者分娩前后心脏损伤比较

发布时间：2018-06-15 17:40

本文选题：重度子痫前期 + 心脏损伤　；参考：《现代妇产科进展》2015年03期

【摘要】：目的:比较早发型与晚发型重度子痫前期(PE)患者的心脏损伤情况。方法:选取2012年4月至2014年5月在我院产科住院分娩的早发型及晚发型重度PE孕妇各50例,检测静脉血中心肌肌钙蛋白、心肌酶谱、脑钠肽前体含量,同时行心脏彩色多普勒超声检查。判定重度PE患者是否存在心脏损伤,并比较早发型与晚发型重度PE患者的心脏损伤程度的差异。结果:早发型及晚发型的重度PE孕妇的产前各项指标异常率均明显高于同期正常妊娠组,差异有统计学意义(P0.05),但两种类型重度PE之间比较差异无统计学意义(P0.05);两种类型产后各项指标均基本正常,差异无统计学意义(P0.05)。结论:两种类型重度PE明显增加孕妇心脏损害的概率。早发型及晚发型患者产前心脏损害为可逆性。联合运用多种检测手段可早期发现重度PE患者心脏损害。
[Abstract]:Objective: to compare the cardiac injury in patients with early onset and late onset severe preeclampsia. Methods: from April 2012 to May 2014, 50 pregnant women with early-onset and 50 late-onset severe PE were enrolled in our hospital from April 2012 to May 2014. The levels of central troponin, myocardial enzymes and brain natriuretic peptide precursor were measured. At the same time, color Doppler echocardiography was performed. To determine whether there is cardiac injury in patients with severe PE, and to compare the degree of cardiac injury between early onset and late onset of severe PE. Results: the abnormal rate of antenatal indexes of severe PE pregnant women with early and late onset was significantly higher than that of normal pregnant women in the same period. The difference was statistically significant (P 0.05), but there was no significant difference between the two types of severe PE (P 0.05), the postpartum indexes of the two types were basically normal, the difference was not statistically significant (P 0.05). Conclusion: two types of severe PE significantly increased the probability of cardiac damage in pregnant women. Antepartum cardiac damage was reversible in patients with early and late onset. Combined use of a variety of detection methods can early detection of severe PE patients with cardiac damage.
【作者单位】：深圳市宝安区松岗人民医院产科;
【基金】：深圳市科技计划项目(No:20123299)
【分类号】：R714.244

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