摘要
目的：探讨孕28周后重度子痫前期患者的分娩方式、分娩时机及母婴结局。方法：收集2013年5月~2015年5月于唐山市妇幼保健院分娩的孕28周后重度子痫前期患者,共306例。按终止妊娠孕周分为3组：28~31＋6周（64例）、32~33＋6周（70例）、≥34周（172例）。回顾性分析三组患者分娩方式、时机及母婴结局。结果：1306例重度子痫患者剖宫产率为83.3%（255/306）,明显高于阴道分娩率5.9%（18/306）、依沙吖啶引产率10.8%（33/306）。2孕32~33＋6周、≥34周围生儿并发症发生率比较差异无统计学意义（P〉0.05）,但是均低于孕28~31＋6周,差异有统计学意义（P〈0.05）。3母体并发症依次为胎盘早剥（6.9%）、心力衰竭（4.2%）、肝肾功能损害（3.9%）、HELLP综合征（3.3%）、子痫及眼底改变（2.9%）。结论：孕28周后重度子痫前期患者主要分娩方式为剖宫产;孕32周后分娩可明显改善围生儿结局;母体最主要并发症为胎盘早剥。
Objective To assess the mode delivery、delivery time and perinatal outcomes of severe preeclampsia after the 28th week gestation.Method A retrospective research was conducted to assess the mode delivery、delivery time、complications and neonatal mor-tality among 306 severe preeclampsia between May 2013 to May 2015.All patients were divided into three groups：28 ~31 ＋6 weeks （64 cases）、32 ~33 ＋6 weeks （70 cases）、≥34 weeks （172 cases）.Results ①The cesarean section rate （83.3%）was higher among severe preeclampsia than vaginal delivery rate（5.9%）and ethacridine induced labor rate（10.8%）.②The perinatal complications rate of 32 ~33 ＋6 weeks、≥34 weeks had no statistical significance（P 〉0.05）,but both were lower than that of 28 ~31 ＋6 weeks（P 〈0.05）.③Ma-ternal complications followed by placental abruption（6.9%）、heart failure（4.2%）、liver and kidney impairment（3.9%）、HELLP syn-drome（3.3%）、eclampsia and fundus changes（2.9%）.Conclusion Cesarean section is a major mode delivery for severe preeclampsia after the 28th week gestation;perinatal outcomes could be obviously improved when delivered after the 32th week gestation;the placental abruption is the most common maternal complication among severe preeclampsia.
出处
《吉林医学》
CAS
2016年第8期1903-1905,共3页
Jilin Medical Journal
关键词
重度子痫前期
分娩方式
分娩时机
母婴结局
Severe preeclampsia
Mode delivery
Delivery time
Perinatal outcome
