摘要
目的探讨早发型重度子痫前期终止妊娠时机对母儿预后的影响。方法回顾性分析2000年1月-2006年12月广西医科大学第四附属医院妇产科妊娠34周前发生子痫前期的61例病例资料,以34孕周终止妊娠为界分为2组,A 组≥34孕周19例,B 组<34孕周42例,就非手术治疗时间、终止妊娠孕周、并发症、胎儿及新生儿预后进行分析。结果 2组患者在孕妇年龄、孕产次、血压无明显差异的情况下,新生儿预后 A 组明显好于 B 组,差异有统计学意义(P<0.05),而孕产妇并发症发生率差异无统计学意义。结论早发型重度子痫前期病情严重,孕产妇严重并发症发生率高,围生儿预后不佳,适当延长孕周可改善围生儿预后,因此,早发型重度子痫前期的期待治疗是可行的。
Objective To study the effect of termination time of pregnancy of early onset severe preeclampsia on maternal and neonatal prognosis. Methods A retrospective study was carried out on 61 cases with early onset severe preeclampsia from January 2000 to December 2006. They were divided into two groups according to the termination times of pregnancy in 34 gestation weeks. Group A≥ 34 gestation weeks, group B〈34 gestation weeks. The average times of expectant management, pregnancy complications, neonatal prognosis were compared. Results There were significant differences in the neonatal prognosis between the two groups （ P〈0.05）. The neonatal prognosis of group A were better than those of group B,but the incidence rates of pregnancy complications had no significant difference. Conclusion Early onset severve preeclampsia is a severe disease with high pregnancy complication incidence and poor neonatal prognosis. Proper prolonging the gestation weeks can improve the neonatal prognosis, and the pregnancy complications are not increased. So the expectant management for early onset severe preeclampsia is feasible.
出处
《河北医科大学学报》
CAS
2009年第4期345-347,共3页
Journal of Hebei Medical University
关键词
先兆子痫
妊娠
预后
preeclampsia
pregnancy
prognosis
