COVID-19 妊娠期肺炎:关于产妇和新生儿结局的回顾性研究

Abdelhamid Benlghazi, Moad Belouad, Dabdi Hanane, Y. Bouhtouri, H. Messaoudi, S. Benali, Rachid Ait Bouhou, Fatima El Mangoub, El Mehdi Elhassani Mly, Jaouad Kouach
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摘要

目的确定 COVID-19 孕妇在疾病严重程度、孕产妇死亡率和发病率方面出现不良后果的风险因素。材料与方法:在这项回顾性研究中,45 名妊娠期 COVID-19 肺炎患者通过 RT-PCR 得到确诊。纳入标准为经 RT-PCR 确诊为 COVID-19 并在妇产科和重症监护室住院的孕妇。排除标准为非妊娠期患者和COVID-19病因未经证实的肺炎病例。研究使用 SPSS 软件对数据进行分析。研究结果我们的研究记录了 45 例孕妇在 2.5 年内感染 SARS-CoV-2 的病例。受影响最大的年龄组为 20-35 岁,占 75%。57%的患者没有已知的合并症。88.8%的患者在确诊时无症状。近 30% 的患者需要入住重症监护室,其中 60% 需要补充氧气。该研究记录了 36 例活产(80%),其中 26 例(72.2%)无需进一步治疗,且预后良好。结论患有内科疾病的孕妇发生严重 COVID-19 的风险较高,COVID-19 可导致呼吸窘迫综合征,影响分娩和新生儿预后。预防措施非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19 Pneumonia in Pregnancy: A Retrospective Study on Maternal and Neonatal Outcomes
Objective: To identify risk factors among pregnant with COVID-19 for adverse outcomes related to disease severity, maternal mortality, and morbidity. Materials and methods: In this retrospective study, 45 pregnant patients with COVID-19 pneumonia were confirmed by RT-PCR. The inclusion criteria were pregnant patients diagnosed with COVID-19 confirmed by RT-PCR and hospitalized in the gynecology-obstetrics and intensive care unit. Exclusion criteria were non-pregnant patients and pneumonia cases with unconfirmed COVID-19 causes. The study used SPSS software to analyze the data. Results: Our study recorded 45 cases of SARS-CoV-2 infection in pregnant women over 2.5 years. The age group most affected was 20-35 years, with 75% of cases. 57% of patients had no known comorbidities. 88.8% of patients were symptomatic at diagnosis. Almost 30% of patients required admission to the ICU, with 60% requiring oxygen supplementation. The study recorded 36 live births (80%), of which 26 cases (72.2%) required no further care and had a favorable outcome. Conclusion: Pregnant women with medical conditions are at higher risk of severe COVID-19, which can cause respiratory distress syndrome and impact delivery and neonatal outcomes. Preventive measures are important.
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