目的 分析不同类型妊娠期高血压疾病(GHD)的相关危险因素及其与妊娠结局的关系.方法 G HD患者232例分为高血压病并发子痫前期(A组 ,29例)、妊娠期高血压(B组 ,82例)、轻度子痫前期(C组 ,31例)和重度子痫前期(D组 ,90例 ,其中产前子痫4例).回顾性分析四组GHD相关危险因素及其与妊娠结局的关系.结果 四组平均妊娠数、年龄、高龄产妇、初产妇及未产检率差异均有统计学意义(P＜0 .05).四组剖宫产、产后出血、早产孕妇及合并妊娠期糖尿病率差异亦有统计学意义(P＜0 .05).四组胎儿胎死宫内、新生儿窒息、新生儿死亡及足月小样儿发生率差异均有统计学意义(P＜0 .05).结论 未行正规产前检查的低龄初孕妇与子痫的发生密切相关.GHD中 ,子痫、重度子痫前期和高血压病并发子痫前期孕产妇及围生儿并发症发生率高.%Objective To analyze the relationship of different kinds of gestational hypertensive diseases(GHD) and pregnancy outcomes .Methods Data of 232 patients with gestational hypertensive diseases were retrospectively analyzed ,who were assigned into 4 groups of A (with hypertension complicated with preeclampsia ,29 cases) ,B (with gestational hypertension ,82 cases) ,C (with mild preeclampsia ,31 cases) and D(with severe preeclampsia ,90 cases) .Results There were significant differences among 4 groups in the factors of age ,number of pregnancies ,primipara ,advanced maternal age ,irregular prenatal examination ,in the factors of rate of cesarean section ,postpartum hemorrhage , preterm labor and the rate of complicating with gestational diabetes mellitus ,and in the factors of fetal death ,neonatal asphyxia ,neonatal death and full-term small infants (P＜0 .05) .Conclusion The young primipara having irregular prenatal examination is closely related to the occurrence of eclampsia .Of GHD ,higher incidences of complications of mothers and infants occur in the primipara with preeclampsia ,severe preeclampsia and essential hypertension .
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