本文選題：妊娠　切入點(diǎn)：高血壓　出處：《廣東醫(yī)學(xué)》2017年21期

【摘要】：目的分析妊娠期高血壓疾病患者母體心臟形態(tài)功能的改變與新生兒預(yù)后指標(biāo)的相關(guān)性。方法選擇妊娠期患者157例進(jìn)行超聲心動(dòng)圖檢查,根據(jù)納入及排除標(biāo)準(zhǔn)分為高血壓組與血壓正常組。跟蹤隨訪患者終止妊娠方式及分娩孕周、新生兒預(yù)后評(píng)估指標(biāo)。比較兩組間母體心臟形態(tài)功能及新生兒預(yù)后指標(biāo),并進(jìn)一步分析新生兒預(yù)后指標(biāo)與母體心臟形態(tài)功能的相關(guān)性。結(jié)果兩組間比較顯示,母體心臟形態(tài)功能方面,左房?jī)?nèi)徑(LA)、室間隔厚度(IVS)、左室后壁(LVPW)、左室質(zhì)量(LVM)、左室質(zhì)量指數(shù)(LVMI-BSA、LVMI-heigh2.7)及心包積液(PE)、主動(dòng)脈瓣反流(AR)、二尖瓣反流(MR)、左室舒張功能異常的比例,高血壓組均高于血壓正常組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);新生兒預(yù)后指標(biāo)方面,新生兒Apgar-0評(píng)分、體重、身長(zhǎng)及頭圍,高血壓組均低于血壓正常組,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。相關(guān)性分析顯示,LA與Apgar-0呈負(fù)相關(guān)(r=-1.91),IVS與新生兒體重呈負(fù)相關(guān)(r=-0.19);PE與Apgar-0、新生兒體重、身長(zhǎng)及頭圍均呈負(fù)相關(guān)(r=-0.34、-0.25、-0.21);上述相關(guān)性均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論妊娠期高血壓疾病母體心臟具有LA增大、左室舒張功能異常、AR、MR及心包積液等超聲表現(xiàn),妊娠期高血壓對(duì)母胎的影響具有一致性,LA、IVS、PE能一定程度反映母胎的損傷程度,為臨床治療和終止妊娠提供依據(jù)。
[Abstract]:Objective to analyze the relationship between maternal heart function and neonatal prognosis in hypertensive disorder complicating pregnancy. According to the criteria of inclusion and exclusion, the patients were divided into hypertension group and normal blood pressure group. The termination of pregnancy, gestational weeks of delivery and neonatal prognosis were followed up. The maternal heart function and neonatal prognosis were compared between the two groups. The relationship between maternal heart morphology and maternal heart function was further analyzed. Results the comparison between the two groups showed that the maternal heart morphology and function, Left atrial diameter (LAA), interventricular septal thickness (IVS), left ventricular posterior wall (LVPWN), left ventricular mass (LVMN), left ventricular mass index (LVMI-BSAL LVMI-heigh2.7), pericardial effusion (PEV), aortic regurgitation (ARN), mitral regurgitation (MRR), left ventricular diastolic dysfunction (LVVD) in hypertension group were higher than those in normal blood pressure group (P < 0.05). The difference was statistically significant (P 0.05), the neonatal prognostic indexes, neonatal Apgar-0 score, body weight, body length, head circumference, hypertension group were lower than those of normal blood pressure group. The correlation analysis showed that there was a negative correlation between LA and Apgar-0. There was a negative correlation between Apgar-0 and neonatal weight. There was a negative correlation between head circumference and body length. Conclusion the maternal heart of hypertensive disorder complicating pregnancy is characterized by LA enlargement, left ventricular diastolic dysfunction and pericardial effusion. The effect of gestational hypertension on maternal and fetal development is consistent. Lafan IVSPE can reflect the degree of maternal fetal injury to a certain extent and provide evidence for clinical treatment and termination of pregnancy.
【作者單位】： 廣州醫(yī)科大學(xué)附屬第三醫(yī)院超聲醫(yī)學(xué)科;
【分類號(hào)】：R714.246

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張師前;新生兒預(yù)后的評(píng)估方法[J];國(guó)外醫(yī)學(xué).婦產(chǎn)科學(xué)分冊(cè);1994年04期

2 毛靈芝;;急性胎兒宮內(nèi)窘迫對(duì)新生兒預(yù)后影響的分析[J];求醫(yī)問(wèn)藥(下半月);2012年05期

3 朱瑞珍;妊高征者血壓狀態(tài)與新生兒預(yù)后的關(guān)系[J];廣東醫(yī)學(xué)院學(xué)報(bào);1999年03期

4 任萍,林桂蘭,盧紅,蔣玉蘭;羊水胎糞污染與新生兒預(yù)后的觀察與研究[J];實(shí)用護(hù)理雜志;2001年09期

5 王榮改;高蔚然;李杰;;孕期感染性發(fā)熱與新生兒預(yù)后關(guān)系[J];河北醫(yī)藥;2010年22期

6 程保萍;;產(chǎn)婦自身情況對(duì)產(chǎn)程及新生兒預(yù)后的相關(guān)性研究[J];現(xiàn)代預(yù)防醫(yī)學(xué);2011年13期

7 吳建枝;妊娠期糖尿病治療與新生兒預(yù)后的關(guān)系[J];實(shí)用兒科臨床雜志;2004年08期

8 董芳;;妊娠期急性脂肪肝6例臨床分析[J];中國(guó)醫(yī)藥指南;2014年01期

9 柴肖華;;剖宮產(chǎn)與陰式分娩對(duì)新生兒預(yù)后影響的調(diào)查研究[J];河北醫(yī)學(xué);2012年11期

10 韓福義,丁淑艷,胡愛琴;妊娠子癇治療對(duì)新生兒預(yù)后的影響[J];中國(guó)婦幼保健;2001年05期

，

本文編號(hào)：1680742