妊娠期高血压行剖宫产术的临床疗效观察.docxVIP

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妊娠期高血压行剖宫产术的临床疗效观察

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[摘要]目的：探讨妊娠期高血压的产妇行剖宫产术的回顾性临床分析。方法：选取从2016年3月—2017年3月于我院行剖宫产术的52例妊高症产妇作为观察组；另选同期与我院进行阴道自然分娩的52例妊高症产妇作为对照组，对两组产妇的分娩成功率、新生儿以及产后并发症等情况进行比较，分析采取妊高症产妇行剖宫产术的临床效果的分析。结果：52例观察组产妇均成功分娩，分娩成功率100%，对照组产妇38例分娩成功，另14例转为剖宫产，分娩成功率73.08%。观察组分娩成功率及新生儿存活率、新生儿评分显著高于对照组，而观察组的产后血压、并发症等指标均显著低于对照组，有显著的统计学意义（p均0.05）。结论：妊高症产妇采用剖宫产术的分娩成功率高、安全性高、新生儿评分等方面均显著优于阴道分娩，值得临床推广应用。

[关键词]妊娠；高血压；剖宫产；安全性

Clinicalefficacyofcesareansectioningestationalhypertension

Li-minliu

(huangpidistrictpeopleshospital,hubeiwuhan430399)

[abstract]objective:tostudythematernallineofgestationalhypertensionretrospectiveclinicalanalysisofcesareansection.Methods:selectfromMarch2016-lineinMarch2017inourhospitalcesareansectionof52casesofpihwomenasagroup;Chose52casesofvaginaldeliverywithourpihwomenascontrolgroup,thesuccessrateofdeliveryoftwogroupsofmaternal,newbornandpostpartumcomplicationssuchascomparison,analysistakepihmaternallineanalysisoftheclinicaleffectofcesareansection.Maternalresults:52casesofobservationgroupweresuccessfuldelivery,deliverysuccessrate100%,controlgroup38casesofmaternalchildbirthissuccessful,theother14casestoacesareandelivery,deliverysuccessrateof73.08%.Observationgroupdeliverysuccessrateandsurvivalrateofnewbornbabies,neonatalscoreissignificantlyhigherthanthecontrolgroup,andpostpartum,complications,suchasbloodpressureindexinobservationgroupweresignificantlylowerthanthecontrolgroup,asignificantstatisticalsignificance(p0.05).Conclusion:pihwomenwithcesareansectiondeliveryhighsuccessrate,highsecurity,neonatalscoreweresignificantlybetterthanthatofvaginaldelivery,worthyofclinicalpopularizationandapplication.

[keywords]pregnancy;Highbloodpressure.Cesareansection;security

妊娠期高血压（妊高症）是常见产科疾病，是造成孕产妇死亡的第二大的因素，但却是造成新生儿死亡的首要因素，对于母婴安全造成严重影响

[1]。相