發(fā)布時間：2018-04-23 21:41

  本文選題：妊娠合并心臟病 + 心力衰竭　； 參考：《中國婦產(chǎn)科臨床雜志》2017年05期

【摘要】：目的探討合并心臟病的孕產(chǎn)婦發(fā)生心力衰竭的危險因素。方法回顧分析于河南省新鄉(xiāng)醫(yī)學院第一附屬醫(yī)院接受治療的344例合并心臟病的孕產(chǎn)婦的臨床資料,發(fā)生心力衰竭的61例患者作為觀察組,同期未發(fā)生心力衰竭的258例患者作為對照組。給予發(fā)生心力衰竭的孕產(chǎn)婦急救治療,并分別采用單因素、多因素Logistic回歸法分析合并心臟病孕產(chǎn)婦并發(fā)心力衰竭的危險因素。結(jié)果基礎(chǔ)心率100次/min、先天性心臟病、圍生期心肌病、風濕性心臟病、PAP50 mm Hg、年齡≥35歲、孕前發(fā)生心臟事件、早孕期心功能分級≥Ⅱ級是心臟病孕產(chǎn)婦發(fā)生心力衰竭的獨立危險因素(P0.05),而孕前咨詢和產(chǎn)前檢查≥6次是其保護性因素(P0.05)。結(jié)論合并心臟病孕產(chǎn)婦并發(fā)心力衰竭受多種因素影響,在臨床中應(yīng)對危險因素干預(yù)或規(guī)避,并幫助患者積極實現(xiàn)保護性因素,從而降低心力衰竭的發(fā)生率。
[Abstract]:Objective to investigate the risk factors of heart failure in pregnant women with heart disease. Methods Clinical data of 344 pregnant women with heart disease were retrospectively analyzed in the first affiliated Hospital of Xinxiang Medical College of Henan Province. 61 patients with heart failure were treated as observation group. In the same period, 258 patients without heart failure were used as control group. First aid treatment was given to pregnant women with heart failure, and the risk factors of heart failure in pregnant women with heart disease were analyzed by single factor and multivariate Logistic regression method. Results the heart rate was 100 rpm, congenital heart disease, perinatal cardiomyopathy, rheumatic heart disease, PAP50mm Hg, age 鈮，

本文編號：1793732