尼泊尔一家三级护理中心患心脏病孕妇的风湿性心脏病：一项描述性横断面研究。
Rheumatic Heart Disease among Pregnant Women with Cardiac Diseases in a Tertiary Care Center of Nepal: A Descriptive Cross-sectional Study.
机构信息
Department of Obstetrics and Gynecology, Chitwan Medical College, Bharatpur, Nepal.
Department of Anesthesia and Critical Care, Chitwan Medical College, Bharatpur, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2021 May 25;59(237):468-472. doi: 10.31729/jnma.6177.
INTRODUCTION
Cardiac disease in pregnancy is a major cause of maternal mortality and morbidity in women, particularly in resource limited countries like Nepal. Rheumatic Heart Disease is the commonest cardiac disease complicating pregnancy. There is very limited data and evidence from Nepal regarding rheumatic heart disease complicating the pregnancy. The study aims to find out the prevalence of rheumatic heart disease among cardiac disease patients in a tertiary care hospital.
METHODS
A descriptive cross-sectional study was conducted among 41 women with cardiac disease who delivered babies at Chitwan Medical College from 1st January 2018 to 31st December 2019, after taking ethical approval from the Institutional Review Committee. A convenient sampling method was used. Statistical Package for the Social Sciences was used for data analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
RESULTS
Among 41 pregnant women with cardiac disease, 32 (78%) (95% Confidence Interval = 65.32-90.68) had rheumatic heart disease. The mean age of the affected pregnant women was 24.9±4.49 years. Out of 32 patients with rheumatic heart disease, postpartum haemorrhage was the most common maternal complication 5 (15.6%) followed by hypertension 4 (9.7%).
CONCLUSIONS
Rheumatic Heart Disease was highly common among pregnant women with cardiac disease.
简介
妊娠合并心脏病是导致孕产妇死亡和发病的主要原因之一，在尼泊尔等资源有限的国家尤其如此。风湿性心脏病是妊娠合并心脏病中最常见的疾病。尼泊尔有关妊娠合并风湿性心脏病的数据和证据非常有限。本研究旨在调查一家三级保健医院的心脏病患者中风湿性心脏病的患病率。
方法
2018 年 1 月 1 日至 2019 年 12 月 31 日，在 Chitwan 医学院分娩的 41 名患有心脏病的妇女中进行了一项描述性横断面研究，该研究获得了机构审查委员会的伦理批准。采用便利抽样法。使用社会科学统计软件包进行数据分析。计算了 95%置信区间的点估计值，以及二进制数据的频率和比例。
结果
在 41 名患有心脏病的孕妇中，32 名（78%）（95%置信区间=65.32-90.68）患有风湿性心脏病。受影响孕妇的平均年龄为 24.9±4.49 岁。在 32 名风湿性心脏病患者中，产后出血是最常见的产妇并发症，有 5 例（15.6%），其次是高血压 4 例（9.7%）。
结论
风湿性心脏病在患有心脏病的孕妇中非常常见。
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