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目的分析不同心功能分级对妊娠合并心脏病患者母婴结局的影响。方法选取2014年4月至2015年4月妊娠合并心脏病患者70例作为研究对象,采用回顾性调查分析法对所有参与此次研究的患者的临床资料进行分析,阐述妊娠合并心脏病患者心脏病的类型、分娩方式的选择及不同心功能等级对母婴的影响。结果所有患者中先天性心脏病发病率最高,其次为心律失常及风湿性心脏病;心功能等级为Ⅰ~Ⅱ级的患者孕周及新生儿体质量均高于心功能等级为Ⅲ~Ⅳ级的患者,心力衰竭发生率及围生儿早产、新生儿窒息、围生期死亡等发生率均低于心功能等级为Ⅲ~Ⅳ级的患者,差异有统计学意义(P<0.05)。结论对于心功能等级较高的患者,为了自身安全及新生儿的健康考虑,应于妊娠前采取相应的治疗措施降低心功能等级,进而改善心功能状态,有助于降低不良母婴结局的发生率,提高新生儿的存活率。
Objective To analyze the influence of different cardiac function grading on maternal and infant outcomes in pregnancy complicated with heart disease. Methods Seventy patients with pregnancy complicated with heart disease from April 2014 to April 2015 were selected as the research objects. The clinical data of all the patients participating in the study were analyzed retrospectively. The clinical data of heart disease The type of delivery mode of choice and different levels of cardiac function on the impact of maternal and child. Results All patients had the highest incidence of congenital heart disease, followed by arrhythmia and rheumatic heart disease; heart function grade Ⅰ ~ Ⅱ patients with gestational age and neonatal body mass were higher than those with cardiac function grade Ⅲ ~ Ⅳ Of patients, the incidence of heart failure and perinatal preterm birth, neonatal asphyxia, perinatal mortality were lower than those with cardiac function grade Ⅲ ~ Ⅳ, the difference was statistically significant (P <0.05). Conclusion For patients with high cardiac function, for their own safety and neonatal health considerations, appropriate measures should be taken before pregnancy to reduce the level of cardiac function, thereby improving cardiac function, help to reduce the occurrence of adverse maternal and infant outcomes Rate, improve the survival rate of newborns.