摘要
目的探讨母妊娠合并室间隔缺损的新生儿生后健康状况。方法回顾性分析近十年北京地区某三甲医院87例母亲为妊娠合并室间隔缺损的新生儿的临床资料。分别将母心功能Ⅲ、Ⅳ级的室间隔缺损产妇的新生儿与母心功能Ⅰ、Ⅱ级的新生儿进行比较;将母亲孕前未进行室间隔缺损修补手术与进行过修补手术产妇的新生儿进行比较。结果心功能Ⅲ、Ⅳ级产妇的新生儿窒息、早产儿、低出生体重儿、极低出生体重儿、小于胎龄儿的发生率高于心功能Ⅰ、Ⅱ级产妇的新生儿,有统计学差异;孕前进行过室间隔缺损修补术的产妇小于胎龄儿的发生率低于孕前未进行室间隔缺损修补术产妇,有统计学差异。结论心功能Ⅲ-Ⅳ的产妇新生儿窒息和早产、低出生体重儿、极低出生体重儿、小于胎龄儿的发生率较高;孕前接受室间隔缺损修补术的产妇较未手术产妇,小于胎龄儿的发生率明显降低。
Objective To evaluate the health status of neonates from mothers with ventricular septal defect（VSD）.Methods To conduct a retrospective analysis on the clinical materials of 87 cases of neonates from mothers with ventricular septal defect in a tertiary class A hospital in Beijing,and make a comparison between ventricular septal defect mothers of neonates with III to IV grade cardiac function and mothers with I to II grade cardiac function,as well as conduct a contrast between mothers that received VSD repair operation and mothers that have not gone through the operation.Results The incidence of neonate asphyxia,premature infant,low birth weight infant,extremely low birth weight infant and small-for-date infant were higher in the mothers with III to IV grade cardiac function VSD than the mothers with I to II grade cardiac function,and had statistical significance.It was statistically significant that the occurrence of small-for-date infant was lower from neonates whose mothers that had gone through VSD repair than those from mothers that had not.Conclusions The incidence of neonate asphyxia,premature infant,low birth weight infant,extremely low birth weight infant and small-for-date infant were higher in mothers with III to IV grade cardiac function,and the incidence of small-for-date infant was lower in mothers who received VSD repair operation before pregnancy than those who were not.
出处
《中国病案》
2014年第5期76-78,共3页
Chinese Medical Record
关键词
妊娠合并室间隔缺损
心功能
新生儿窒息
早产儿
低出生体重儿
小于胎龄儿
Pregnancy with ventricular septal defects
Cardiac function
Neonate asphyxia
Premature infant
Low birth weight infant
Small-for-date infant
