目的:探讨妊娠期高血压综合征患者眼底观察的临床意义。方法:对妊娠期高血压疾病患者产前、产后的眼底观察情况进行分析。结果:患者599例中眼底正常152例(25.4%),眼底改变447例(74.6%),其中妊娠期高血压眼底改变率为63.9%,子痫前期轻度眼底改变率为80.4%,子痫前期重度眼底变率为98.8%,子痫眼底改变率为100%,视网膜病变III期69例中12例合并视网膜脱离。视网膜病变发病率及严重程度与妊娠期高血压综合征疾病程度成正比,血压越高,蛋白尿越高,红细胞压积越高,视网膜病变发生率越高。产后子痫,与重度妊娠期高血压合并视网膜病变有关。结论:眼底观察对判断妊娠期高血压综合征病情程度,制订治疗方案,对防止产后子痫及防止严重视网膜病变都具有重要意义。

·AIM:To discuss the significance of fundus observation in patients with pregnancy induced hypertension(PIH).·METHODS:The prenatal and postpartum observation of fundus of patients with PIH were analyzed.·RESULTS:Among 599 patients,152 cases of normal fundus accounted for 25.4%,and 447 cases of fundus changes accounted for 74.6%.The rate of fundus change with mild preeclampsia,fundus change with severe preeclampsia,fundus change with eclampsia were 80.4%,98.8%,100%.12 cases of 69 cases with retino-pathy in phase Ⅲ,had retinal detachment.The incidence rate and severity of retinopathy was in positive correlation wth the degree of the disease in PIH.The higher the blood pressure,albuminuria,hematocrit,the higher the incidence rate of retinopathy.Eclampsia postpartum was related to severe gestational hypertension combined with retinopathy.·CONCLUSION:Fundus observation was of significance to judge the degree of the disease in PIH,make treatment protocol,prevent eclampsia postpartum and severe retinopathy.·

R714.246