妊娠期高血压患者不良妊娠结局危险因素及干预对策研究

发布时间：2018-07-05 17:38

本文选题：妊娠期高血压 + 妊娠结局　；参考：《内科》2016年06期

【摘要】：目的探讨影响妊娠期高血压患者不良妊娠结局的危险因素,并提出临床干预对策。方法对2010年4月至2015年5月我院收治的妊娠期高血压患者114例的临床资料进行回顾性分析。结果产妇不良妊娠结局的影响因素有疾病的严重程度(OR=2.136,P0.05)及蛋白尿(OR=4.379,P0.05);胎儿不良妊娠结局的影响因素有蛋白尿(OR=2.003,P0.05)及分娩孕周(OR=5.218,P0.05);新生儿不良妊娠结局的影响因素有疾病的严重程度(OR=2.961,P0.05)及分娩孕周(OR=6.278,P0.05);产妇-胎儿/新生儿不良妊娠结局的影响因素有蛋白尿(OR=3.024,P0.05)及分娩方式(OR=3.147,P0.05)。结论影响妊娠期高血压患者不良妊娠结局的因素较多,应加大对患者进行健康教育的力度,使患者积极主动进行产前检查,同时积极进行预防和治疗以降低不良妊娠结局发生的概率。
[Abstract]:Objective to explore the risk factors of adverse pregnancy outcome in hypertensive patients complicating pregnancy, and to put forward clinical intervention measures. Methods the clinical data of 114 cases of hypertension complicating pregnancy admitted in our hospital from April 2010 to May 2015 were retrospectively analyzed. Results the influencing factors of maternal adverse pregnancy outcome were the severity of disease (OR 2.136 P 0.05) and proteinuria (OR 4.379 P 0.05), the influencing factors of fetal adverse pregnancy outcome were proteinuria (ORO 2.003 P 0.05) and delivery gestational week (OR 5.218P 0.05), and the influencing factors of neonatal adverse pregnancy outcome were disease. The severity (ORO 2.961) and gestational week of delivery (OR6.278 P 0.05), the influencing factors of maternal fetal / newborn adverse pregnancy outcome were proteinuria (ORO 3.024 P 0.05) and delivery mode (ORT 3.147 P 0.05). Conclusion there are many factors that affect the adverse pregnancy outcome in hypertensive patients with pregnancy. The health education should be strengthened to make the patients take the initiative in antenatal examination. At the same time, active prevention and treatment to reduce the probability of adverse pregnancy outcome.
【作者单位】：甘肃省张掖市甘州区人民医院妇产科;
【分类号】：R714.246

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