在患有前兴奋综合征并发症的患者中,怀孕结果
Kana Wang1,2, Junguo Xin3, Qing Hu1,2
1Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, No. 20, 3rd Section, South Renmin Road, Chengdu, 610041, China.
Archives of gynecology and obstetrics
|March 2, 2024
概括
患有预兴奋综合征的孕妇面临着更高的脑膜上心动脉动 (SVT) 和不良结果的风险. 管理SVT病史和妊娠期糖尿病对于改善母亲和胎儿健康至关重要.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 预兴奋综合征影响孕妇,增加了脑上脉上高心率 (SVT) 的风险.
- 怀孕和分娩期间的SVT与母亲和胎儿的不良事件有关.
研究的目的:
- 分析患有预兴奋综合征的孕妇的心脏和产科并发症.
- 在这个人群中识别与SVT相关的风险因素.
主要方法:
- 在280名患有前兴奋综合征的妇女309次怀孕的回顾性研究 (2011年6月至2021年10月).
- 对 SVT 和非 SVT 组进行比较,以评估并发症.
- 分析患病率,SVT病史,以及诸如妊娠期糖尿病等相关疾病.
主要成果:
- 预兴奋综合征的患病率为0.24%.
- SVT发生在20.1%的病例中,其中35.5%具有先前的SVT病史.
- SVT组的剖腹产率更高 (88.7%与64.8%相比),并发症更多,胎儿死亡4例.
结论:
- 孕妇患有预兴奋综合征的不良结果与SVT有关.
- 风险因素包括以前的SVT,心脏问题和妊娠糖尿病.
- 在分娩后的射频除改善了后续怀孕的结果.
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