摘要
目的:探讨早发型重度子痫前期患者的临床特点和对妊娠结局的影响。方法:对天津医科大学总医院产科2007年1月～2009年12月收治的78例早发型重度子痫前期病例进行分析,根据其发病孕周分为3组,即A组(孕周<28周),B组(28周≤孕周<32周),C组(32周≤孕周<34周)。结果:早发型重度子痫前期3组患者并发症发生率无统计学意义(P>0.05);3组间新生儿窒息率和围产儿死亡率均有统计学意义(P<0.05);B组期待治疗时间明显长于其他两组(P<0.05)。结论:早发型重度子痫前期新生儿窒息和围产儿死亡率随发病孕周延长而降低,应严格选择病例进行期待治疗,并严密监测母胎情况,适时选择合适的终止妊娠方式。
Objective：To explore the clinical characteristics of cases with early onset severe preeclampsia and the effect of early onset severe preeclampsia on pregnancy outcomes.Methods：78 cases with early onset severe preeclampsia visiting the hospital from January 2007 to December 2009 were analyzed,then they were divided into group A（28 gestational weeks）,group B（28~31＋6 gestational weeks） and group C（32~33＋6 gestational weeks） according to their onset gestational weeks.Results：There was no significant difference in incidence of complications among the three groups（P0.05）;there was significant difference in incidence of neonatal asphyxia and perinatal mortality among the three groups（P0.05）;the duration time of expectant treatment in group B was significantly longer than those in the other two groups（P0.05）.Conclusion：The incidence of neonatal asphyxia and perinatal mortality among the cases with early onset severe preeclampsia decrease with the increase of gestational weeks,it is necessary to choose cases for expectant treatment strictly,monitor the conditions of mothers and fetuses closely and adopt appropriate methods to terminate pregnancy.
出处
《中国妇幼保健》
CAS
北大核心
2011年第12期1793-1795,共3页
Maternal and Child Health Care of China
关键词
早发型重度子痫前期
并发症
新生儿窒息
围产儿死亡率
Early onset severe preeclampsia
Complication
Neonatal asphyxia
Mortality of perinatal infants
