妊娠期高血压并发急性肾损伤的影响因素及其结局分析被引量：5

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摘要目的探讨妊娠期高血压致急性肾功能损伤(AKI)的影响因素及其结局。方法收集2004年3月—2017年2月13年间妊娠期高血压患者共385例,选择其中致急性肾损伤住院患者病例资料61例作为AKI组,选择同一时期妊娠期高血压无急性肾损伤患者病例资料324例作为非AKI组,对两组间的数据进行单因素分析,并分析AKI组急性肾损伤的结局。结果两组间在孕妇年龄、妊娠时间、剖腹产、流产、患者血压、并发子痫前期-子痫、产后出血、胎盘早剥、HLLEP综合征以及败血症方面差异显著(P<0.05)。是否初产方面无显著性差异(P=0.083,P>0.05)。妊娠期高血压合并急性肾损伤的发病率为15.80%,患者59.00%为完全恢复,19.70%为部分恢复,9.80%为未恢复,11.50%死亡。结论孕妇年龄、流产史、高血压水平、并发子痫前期-子痫、产后出血、胎盘早剥、HLLEP综合征及败血症是妊娠期高血压致急性肾损伤的高危因素,约有20%的患者预后不良。

作者张慧兰程英惠冯春翠

机构地区孝感市孝南区妇幼保健院孝感市中心医院

出处《中国初级卫生保健》 2018年第3期47-48,共2页 Chinese Primary Health Care

关键词妊娠期高血症急性肾损伤影响因素结局

分类号 R1-9 [医药卫生—公共卫生与预防医学]

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1妊娠期高血压疾病诊治指南（2015）[J].中华妇产科杂志,2015,50(10):721-728. 被引量：1210
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