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Arterial blood gas and acid-base balance in patients with pregnancy-induced hypertension syndrome

机译:妊娠高血压综合征患者的动脉血气和酸碱平衡

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摘要

This study aimed to investigate the expression of arterial blood gas and acid-base balance in patients with pregnancy-induced hypertension syndrome and their influence on newborns. A total of 348 patients with pregnancy-induced hypertension syndrome (research group) admitted and treated in the First People's Hospital of Jining from March 2013 to March 2016 were retrospectively analyzed, and another 156 cases of healthy pregnant women who were physically examined were selected as the control group. Blood gas analysis was performed on pregnant women, and pH value, partial pressure of oxygen (PO2), partial pressure of carbon dioxide (PCO2), bicarbonate radical (HCO3) and base excess (BE) were included as test indexes. Apgar score was made for newborns for neonatal asphyxia. The evaluation was performed at 1, 5, and 10 min after birth to analyze the correlation between the maternal arterial blood pH and the neonatal Apgar score. The pH value, and PO2 and HCO3 levels in the research group were lower than those in the control group (p<0.05). PCO2 and BE levels in the research group were higher than those in the control group (p<0.05). The incidence of neonatal mild asphyxia (Apgar score, 4–6 points) and neonatal severe asphyxia (Apgar score, <4 points) in the research group were higher than that in the control group (p<0.05). The Apgar score of newborns was positively correlated with the pH value of the arterial blood of pregnant women. Blood gas analysis in patients with pregnancy-induced hypertension syndrome is useful to a certain extent to evaluate the condition of the patient. The combination of the pH value of the patient and the Apgar score of the newborns may help improve the judgement rate of neonatal asphyxia so as to improve the quality of childbirth by early monitoring and intervention of the newborns.
机译:本研究旨在探讨妊娠高血压综合征患者动脉血气和酸碱平衡的表达及其对新生儿的影响。回顾性分析2013年3月至2016年3月在济宁市第一人民医院收治的348例妊娠高血压综合征患者(研究组),选择156例健康体检孕妇。对照组。对孕妇进行了血气分析,其pH值,氧气分压(PO2),二氧化碳分压(PCO2),碳酸氢根(HCO3 -)和碱过量(BE)为作为测试指标。对新生儿窒息进行Apgar评分。评估在出生后的1、5和10分钟进行,以分析母体动脉血pH与新生儿Apgar评分之间的相关性。研究组的pH值,PO2和HCO3 -水平均低于对照组(p <0.05)。研究组的PCO2和BE水平高于对照组(p <0.05)。研究组新生儿轻度窒息(Apgar评分,4-6分)和新生儿重度窒息(Apgar评分,<4分)的发生率高于对照组(p <0.05)。新生儿的Apgar评分与孕妇动脉血的pH值呈正相关。妊娠高血压综合征患者的血气分析在一定程度上有助于评估患者的病情。病人的pH值与新生儿的Apgar评分相结合,可以通过对新生儿的早期监测和干预来提高新生儿窒息的判断率,从而提高分娩质量。

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