摘要
目的:探讨早发型重度子痫前期的临床特点及围生结局。方法:回顾性分析2006年6月至2009年6月四川大学华西第二医院收治的重度子痫前期患者413例,以发病孕周34周为界限,分为早发型重度子痫前期组156例(早发型组)及晚发型重度子痫前期组257例(晚发型组)。比较两组一般情况、并发症、分娩方式及围生儿结局等指标。结果:早发型组患者在终止妊娠孕周、延长孕周时间、住院时间、入院时血压、24小时尿蛋白、并发症发生率及围生儿结局等方面与晚发型组比较,差异均有高度统计学意义(P<0.01)。结论:早发型重度子痫前期患者病情严重,围生儿预后不佳,应根据母胎情况,适时剖宫产终止妊娠。
Objective：To investigate the clinical features and outcomes of early onset severe preeclampsia.Methods：413 patients with severe preeclampsia were retrospectively reviewed in Sichuan University Huaxi Second Hospital from 2006 to 2009.The patients were divided into two groups by 34 gestation weeks,156 patients who had disease before 34 weeks were in early onset group,while 257 patients had disease later than 34 weeks were in late onset group.The demographic features,pregnancy complications,delivery mode and perinatal outcomes were compared between two groups.Results：Significant differences between two groups were found in the gestation week of pregnancy termination,prolongation of gestation weeks,the length of hospital stay,blood pressure and 24 hours proteinuria when admission,as well as the pregnancy complications,and the perinatal outcomes（P〈0.01）.Conclusions：Patients in early-onset group present serious disease status and have bad perinatal prognosis,so carefully selecting cesarean section to terminate pregnancy according to the maternal and fetal conditions is warranted.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2011年第3期191-193,共3页
Journal of Practical Obstetrics and Gynecology
基金
教育部高等学校博士点专项基金(编号:20070610102)
四川省科技支撑项目(编号:2009SZ0149)
成都市科技攻关项目(编号:10GGYB899SF-023)
关键词
早发型重度子痫前期
妊娠结局
并发症
Earlyonset severe preeclampsia
Outcome of pregnancy
Complications
