上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（临床研究） • 上一篇    下一篇

无器质性心脏病孕妇妊娠期室性期前收缩140例临床分析

汪雪梅1,张绘莉2,黄晓凤1,葛岚1   

  1. 1.复旦大学附属妇产科医院心电图室， 上海 200011； 2.上海交通大学 医学院附属第九人民医院心内科， 上海 200011
  • 出版日期:2016-05-28 发布日期:2016-05-26
  • 作者简介:汪雪梅（1976—）， 女， 主治医师， 学士; 电子信箱: xiaoyu197654@sina.com。

Clinical analysis of ventricular premature contractions during gestation period in 140 pregnant women without organic heart disease

WANG Xue-mei1, ZHANG Hui-li1, HUANG Xiao-feng1, GE Lan1   

  1. 1.Electrocardiographic Department，Obstetrics and Gynecology Hospital of Fudan University， Shanghai 200011, China; 2.Department of Cardiology, Shanghai Ninth Peoples Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Online:2016-05-28 Published:2016-05-26

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摘要：

目的 了解在无器质性心脏病孕妇妊娠期，室性期前收缩（室性早搏）数量随孕期变化规律及对胎儿的影响。方法 收集在2012年1月—2015年6月分娩的曾接受动态心电图检查的140例孕妇的临床资料，回顾性分析室性早搏在不同孕周的变化，跟踪母儿结局。结果 与孕28周前相比，孕32周后部分病例24 h室性早搏数量增加，部分病例减少，且增加变化及减少变化均有统计学意义(P=0.004，P=0.001)。室性早搏增加与减少孕妇的分娩孕周、新生儿Apgar评分、新生儿体质量的差异均无统计学意义。结论 妊娠各期均可能出现室性早搏。室性早搏并不一定随着孕周增加而增多。对于无器质性心脏疾病单纯合并室性早搏的孕妇，妊娠结局较好。

关键词: 室性期前收缩, 妊娠, 胎儿

Abstract:

Objective To investigate changes in the number of ventricular premature contractions in pregnant woman without organic heart disease during gestation period and the impact on fetuses. Methods Clinical data of 140 pregnant women who had delivered from Jan. 2012 to Jun. 2015 and had undergone ambulatory electrocardiogram were enrolled. The changes in ventricular premature contractions in different gestational weeks were retrospectively analyzed and outcomes of mothers and babies were tracked. Results The numbers of ventricular premature contractions increased or decreased after 32 weeks’ gestation as compared with before 28 weeks’ gestation. Changes in the increase and decrease were statistically significant (P=0.004, P=0.001). The differences in delivery weeks, Apgar score, and birth weights between pregnant women with increased and decreased numbers of ventricular premature contractions were not statistically significant. Conclusion The ventricular premature contractions may occur at any phase of gestation and do not necessarily increase with gestational weeks. For pregnant women with ventricular premature contractions and without organic heart disease, gestational outcomes are favorable.

Key words: ventricular premature contractions, pregnancy, fetus