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目的探讨妊娠期高血压疾病合并胎儿生长受限(FGR)的分娩时机和方式对妊娠结局的影响。方法回顾性分析分娩的138例妊娠期高血压疾病合并胎儿生长受限患者分娩时机及方式与围产儿预后的关系。结果138例FGR围产儿死亡41例,新生儿窒息59例。分娩孕周34~36+6周时新生儿窒息率、围生儿死亡率显著低于其他孕周(P<0.01),剖宫产组新生儿窒息率、围生儿死亡率明显低于阴道分娩组(P<0.05)。结论分娩时机与方式是影响妊娠期高血压疾病合并胎儿生长受限围产儿预后的关键环节。剖宫产是主要的分娩方式。
Objective To investigate the influence of timing and mode of delivery on pregnancy outcome in hypertensive disorder complicating pregnancy with fetal growth restriction (FGR). Methods A retrospective analysis of 138 cases of gestational hypertensive disorders of labor with fetal growth restriction of childbirth timing and the relationship between the prognosis of perinatal children. Results In the 138 cases of FGR perinatal death in 41 cases, neonatal asphyxia in 59 cases. Childbirth neonatal asphyxia and perinatal mortality were significantly lower than those of other gestational weeks (P <0.01) at 34-36 + 6 weeks of gestational age in childbirth. Neonatal asphyxia and perinatal mortality in cesarean section were significantly lower than those in vagina Childbirth group (P <0.05). Conclusion The timing and mode of delivery are the key factors affecting the prognosis of perinatal infants with hypertensive disorder complicating pregnancy. Cesarean section is the main mode of delivery.