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目的探讨合并不同级别心功能心脏病孕妇对妊娠结局的影响。方法选择2009年1月-2011年12月在重庆市西郊医院妇产科就诊的58例合并不同级别心功能心脏病孕妇为研究对象,分析合并不同级别心功能心脏病孕妇终止妊娠的方式、时机、孕周及母婴结局。结果心功能Ⅲ～Ⅳ心脏病孕妇剖宫产率明显高于心功能Ⅰ～Ⅱ心脏病孕妇(χ2=4.006,P<0.05);心功能Ⅲ～Ⅳ心脏病孕妇早产率、新生儿出生体重<2 500 g及围产儿死亡率明显高于心功能Ⅰ～Ⅱ心脏病孕妇(P<0.05)。结论在对心脏病孕妇进行产前保健时应加强产前宣教,并且在心脏病孕妇妊娠期间积极治疗心脏病,最大限度地改善心脏病孕妇的心脏功能,减少孕妇早产,提高新生儿存活率。
Objective To investigate the effect of pregnant women with different grades of cardiac dysfunction on pregnancy outcome. Methods From January 2009 to December 2011, 58 pregnant women with different grades of heart-related cardiopulmonary disease treated in the obstetrics and gynecology department of the western suburbs of Chongqing City were selected as the study subjects, and the methods of terminating pregnancy with different grades of heart-related cardiac disease were analyzed. Timing, gestational age and mother to child outcomes. Results The cesarean section rate of heart function Ⅲ ~ Ⅳ heart disease pregnant women was significantly higher than that of heart function Ⅰ ~ Ⅱ heart disease (χ2 = 4.006, P <0.05); Preterm birth rate of heart function Ⅲ ~ Ⅳ heart disease pregnant women, birth weight < 2 500 g and perinatal mortality were significantly higher than those with heart function Ⅰ ~ Ⅱ heart disease (P <0.05). Conclusions Prenatal education should be strengthened during prenatal care of heart disease pregnant women, and heart disease should be actively treated during the pregnancy of heart disease pregnant women to maximize the cardiac function of pregnant women with heart disease, reduce the premature delivery of pregnant women and improve the survival rate of neonates.