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目的 比较重度妊娠高血压综合征 (重度妊高征 )患者阴道分娩与剖宫产母婴结局 ,以期为重度妊高征患者选择分娩方式提供依据。方法 分析 1996～ 1999年我院住院分娩者中重度妊高征排除其它产科并发症、合并症的患者112例 ,其中阴道分娩 2 4例 ,剖宫产 88例 ,比较两组患者母婴结局。结果 阴道分娩组 ( 组 )的产后 2小时出血量为 16 4.4± 5 3.3ml,产后产妇感染率为 0 % ;明显低于剖宫产组 ( 组 )的 2 38.3± 40 .2 ml和 1.3% (P<0 .0 5 )。 组新生儿体重为 30 35 .2± 12 1.3g,新生儿轻度窒息发生率 4.1%与 组的 2 940 .3± 143.8g和 3.2 %相比较无明显差异(P>0 .0 5 )。结论 因具先进的监测手段和抢救措施 ,重度妊高征患者阴道分娩较剖宫产更具优越性
Objective To compare the outcomes of vaginal delivery and cesarean section in patients with severe pregnancy-induced hypertension (severe PIH) with a view to providing basis for choosing delivery mode in patients with severe PIH. Methods From 1996 to 1999, 112 inpatients with moderate to severe pregnancy-induced hypertension who had discharged from hospital were divided into vaginal delivery (24 cases) and cesarean delivery (88 cases). The results of maternal and infant were compared between the two groups. Results The vaginal delivery group (group) had 16 4.4 ± 5 3.3 ml postpartum hemorrhage and 0% postpartum maternal infection, which was significantly lower than that of the cesarean section group (38.3 ± 40.2 ml and 1.3%) (P <0. 05). The weight of newborns was 30 35 .2 ± 12 1.3g. The incidence of mild asphyxia in newborns was not significantly different from that of group 2 940. ± 143.8g and 3.2% (P> 0.05). Conclusion Due to advanced monitoring methods and rescue measures, vaginal delivery in patients with severe PIH has more advantages than cesarean section