[1989 - 1998年上海妊娠期高血压的发病率及其对母婴的影响]

[Incidence of pregnancy induced hypertension and the effects on mother and fetus in Shanghai during 1989-1998].

作者信息

Huang Y

机构信息

Department of Obstetrics and Gynecology, Shanghai Sixth People's Hospital, Shanghai 200233, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2001 Mar;36(3):137-9.

PMID:11783386

Abstract

OBJECTIVE

To investigate the incidence of pregnancy induced hypertension (PIH) in Shanghai during 1989-1998.

METHODS

The data were analyzed retrospectively from three municipal general hospitals and five special hospitals obstetrics and gynecology.

RESULTS

There were 158,790 deliveries in ten years. The total numbers of PIH were 8,852 cases. The incidence of PIH was 5.57%. The rate of mild, moderate and severe PIH was 55.83%, 29.39%, and 14.78% respectively. There were 114 cases (1.29%) complicated with eclampsia. The rate of cesarean section was 66.97% in PIH patients. The complications of PIH were as following: abruptio of Placenta 0.52%, heart failure 0.34%, renal failure 0.20%, DIC 0.07% hemolysis, elevated liver enzymes and low platelet count(HELLP) syndrome 0.03%, maternal death one case. There were 9,197 birth of 8,852 cases of PIH (twin 343 cases, triplets one cases). The perinatal death 66 occurred in cases (7.18@1000) in which fetal death 48 cases, stillbirth 12 and neonatal death 6.

CONCLUSION

The incidence of PIH and the rate of perinatal infant death can be reduced by strengthen antenatal monitoring, prevention, early diagnosis and treatment of PIH.

摘要

目的

调查1989 - 1998年上海市妊娠高血压综合征（PIH）的发病率。

方法

回顾性分析三家市级综合医院和五家专科医院妇产科的数据。

结果

十年间共有158,790例分娩。PIH总病例数为8,852例。PIH发病率为5.57%。轻度、中度和重度PIH的比例分别为55.83%、29.39%和14.78%。子痫患者114例（1.29%）。PIH患者剖宫产率为66.97%。PIH的并发症如下：胎盘早剥0.52%，心力衰竭0.34%，肾衰竭0.20%，弥散性血管内凝血（DIC）0.07%，溶血、肝酶升高和血小板减少（HELLP）综合征0.03%，孕产妇死亡1例。8,852例PIH患者共分娩9,197例（双胎343例，三胎1例）。围产儿死亡66例（7.18‰），其中胎儿死亡48例，死产12例和新生儿死亡6例。