目的：探讨高龄合并妊娠期高血压疾病对围产儿结局的影响，为临床决策提供科学依据。方法：选取妊娠期高血压疾病的产妇114例作为观察对象，对比分析了35岁以上产妇（59例，高龄组）与35岁以下产妇（55例，正常组）的妊娠合并症、围产儿结局的差异。结果：高龄组孕妇子痫前期、子痫的发生率（50.8%）高于正常组发生率（29.1%），差异有统计学意义（P<0.05）；高龄组孕妇胎盘早剥、HELLP综合征、妊娠高血压心脏病等严重并发症的发生率与对照组比较，差异无统计学意义（ P>0.05）；高龄组胎儿生长受限率显著高于正常组（ P<0.05）；新生儿窒息、胎儿窘迫、死胎、畸形儿的发生率在两组之间比较，差异无统计学意义（ P>0.05）；高龄组产妇剖宫产率显著高于正常组（P<0.05）。结论：高龄可增加孕妇患妊娠期高血压疾病的风险，从而导致多种严重并发症，使围产儿不良结局风险增大，及时终止妊娠对降低围产儿不良结局有重要意义。%Objective To explore the effects of elderly pregnancy complicated with on perinatal outcomes,so as to provide evidences for majing clinical decisions. Method A sample of 114 pregnancies were selected they were conducted to compare the pregnancy complications and perinatal outcomes between the pregnancies older than 35 and younger than 35. Results The rates of preeclampsia and eclampsia (50. 8%)were higher in the pregnancies who were older than 35 years than that in younger than 35(29. 1%),the difference was significant ( P<0. 05);no significances were found on the rates of placental abruption,HELLP syndrome,Gestational hypertension heart disease,asphyxia neonatorum,fetal distress,dead fetus,malformation between the two groups(P>0. 05);the rate of cesarean delivery was higher in older preg-nancies than that in younger group(P<0. 05). Conclusion Elderly pregnancy complicated with gestational hypertension is harmful for preg-nancy women and perinatal,and appropriate management and stopping pregnancy properly is of great significant.
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