内科

目的探讨影响妊娠期高血压患者不良妊娠结局的危险因素，并提出临床干预对策。方法对2010年4月至2015年5月我院收治的妊娠期高血压患者114例的临床资料进行回顾性分析。结果产妇不良妊娠结局的影响因素有疾病的严重程度（OR=2.136，P＜0.05）及蛋白尿（OR=4.379，P＜0.05）；胎儿不良妊娠结局的影响因素有蛋白尿（OR=2.003，P＜0.05）及分娩孕周（OR=5.218，P＜0.05）；新生儿不良妊娠结局的影响因素有疾病的严重程度（OR=2.961，P＜0.05）及分娩孕周（OR=6.278，P＜0.05）；产妇-胎儿/新生儿不良妊娠结局的影响因素有蛋白尿（OR=3.024，P＜0.05）及分娩方式（OR=3.147，P＜0.05）。结论影响妊娠期高血压患者不良妊娠结局的因素较多，应加大对患者进行健康教育的力度，使患者积极主动进行产前检查，同时积极进行预防和治疗以降低不良妊娠结局发生的概率。

ObjectiveTo explore the risk factors of adverse pregnancy outcomes in pregnancy-induced hypertension and analyze the effective preventive measures. MethodsThe clinical materials of 114 patients with pregnancy-induced hypertension in our hospital from April 2014 to May 2015 were analyzed retrospectively. ResultsThe influencing factors of adverse pregnancy outcomes of maternals were the degree of disease (OR=2.136, P＜0.05) and urinary protein (OR=4.379, P＜0.05); the influencing factors of adverse pregnancy outcomes of fetus were proteinuria (OR=2.003, P＜0.05) and gestational weeks (OR=5.218, P＜0.05); the influencing factors of adverse pregnancy outcomes of newborns were disease degree(OR=2.961, P＜0.05), gestational weeks (OR=6.278, P＜0.05), the influencing factors of adverse pregnancy outcomes of maternal-fetal/neonatal were proteinuria (OR=3.024, P＜0.05) and delivery mode (OR=3.147, P＜0.05). ConclusionsThe adverse pregnancy outcomes in pregnancy-induced hypertension are associated with many factors, we should strengthen the health education, and patients with pregnancy-induced hypertension will be active in prenatal examination, at the same time, some prevention and treatment should be done to reduce the rate of adverse pregnancy outcomes.