摘要
目的探讨妊娠期高血压病(妊高征)、胎膜早破等围生因素对新生儿结局的影响。方法选取2011年6月-2013年12月在洛阳市103家医院出生的54 378例新生儿作为回顾性分析对象,根据产妇有无妊娠期高血压病、胎膜早破,对新生儿予以分组比较。结果有妊高征组,出生低体重儿,新生儿畸形、死亡、早产、胎膜早破剖宫产的发生率均明显高于无妊高征组,差异均有统计学意义(P<0.05)。而两组间先天性心脏病的发生率比较差异无显著性(P>0.05)。有胎膜早破组,妊高征、出生低体重儿、早产的发生率均高于无胎膜早破组,新生儿Apgar评分低于对照组,差异均有统计学意义(P均<0.05);新生儿死亡、先天畸形的发生率两组间比较差异无显著性(P>0.05)。结论妊娠期高血压病、胎膜早破等围生因素对于新生儿结局均会产生不同程度的不良影响。
Objective To explore the perinatal factors influence on neonatal outcome, such as the gestational hypertension, premature rupture of membranes, etc. Methods 54 378 cases of neonatal were selected as objects were born in 103 hospitals of Zhuhai city from June 2011 to December 2013. Grouped the cases according to the presence or absence of maternal gestational hypertension, premature rupture of membranes, and compared the results. Results The rate of low birth weight, newborn deformity, death, the incidence of premature rupture of membranes, preterm labor, cesarean section of pih group were significantly higher than that of without pih group, differences were statistically significant （ P 〈 0.05 ）. And the incidence of congenital heart disease between the two groups was no significant difference （ P 〉 0.05 ）. The rate of pih, low birth weight, the incidence of preterm premature rupture of membranes group were higher than no presence premature rupture of membranes groups, neonatal Apgar score was lower than the control group, the difference had statistical significance （ P 〈 0.05 ） ; Neonatal death and the incidence of birth defects was no significant difference between the two groups （P 〉 0. 05 ）. Conclusion The gestational hypertension, premature rupture of membranes and other perinatal factors will produce different degree of adverse effects on neonatal outcome.
出处
《中国妇幼卫生杂志》
2014年第5期46-47,共2页
Chinese Journal of Women and Children Health
关键词
妊娠期高血压疾病
胎膜早破
新生儿结局
gestational hypertension disease
premature rupture of membranes
neonatal outcome
