摘要
目的比较重度子痫前期孕妇早产及自发性早产的母婴结局。方法选取2013年1月-2016年1月住院的48例重度子痫前期终止妊娠患者为观察组,选取同期38例自发性早产孕妇为对照组。对比分析两组母婴结局。结果两组孕妇剖宫产率及并发症发生率比较差异均有统计学意义(P<0.05)。两组新生儿1 min Apgar评分与5 min Apgar评分比较,差异均有统计学意义(P<0.05)。两组新生儿并发症发生率比较差异无统计学意义(P>0.05)。观察组男性新生儿平均出生体重略低于对照组,差异无统计学意义(P>0.05);观察组女性新生儿平均出生体重略高于对照组,差异无统计学意义(P>0.05)。结论重度子痫早产和自发性早产均对孕妇和新生儿健康有一定的不良影响,剖宫产率和并发症发生率相对较高。临床治疗中应加强对病情进展的关注,采取有效的干预措施,积极改善母婴结局。
Objective To compare the maternal and infantile outcomes of premature delivery and spontaneous premature delivery in pregnant women with severe preeclampsia.Methods From January 2013 to January 2016,48 patients with severe preeclampsia terminated pregnancy(observation group),38 patients with spontaneous premature delivery were selected as control group.The maternal and infantile outcomes in the two groups were compared and analyzed.Results There were statistically significant differences in cesarean section rate and incidence rate of maternal complications between the two groups(P〈0.05).There were statistically significant differences in neonatal oneminute Apgar score and five-minute Apgar score between the two groups(P〈0.05).There was no statistically significant difference in the incidence rate of neonatal complications between the two groups(P〈0.05).The mean birth weight in boys in observation group was slightly lower than that in control group,but there was no statistically significant difference(P〈0.05).The mean birth weight in girls in observation group was slightly higher than that in control group,but there was no statistically significant difference(P〉0.05).Conclusion Both severe preeclampsia early premature delivery and spontaneous premature delivery have certain impacts on maternal and neonatal health,cesarean section rate and incidence rate of complications are relatively high,disease progression in clinical treatment should be paid attention to,effective intervention measures should be taken to improve maternal and infantile outcomes actively.
出处
《中国妇幼保健》
CAS
2017年第13期2846-2848,共3页
Maternal and Child Health Care of China
基金
四川省卫生厅资助项目(120113)
关键词
子痫
早产
母婴结局
Eclampsia
Premature delivery
Maternal and infantile outcomes