摘要
【目的】探讨早发型重度子痫前期（ESP）终止妊娠的时机。【方法】回顾分析68例ESP患者的临床资料,根据其发病孕周分成4组（a组〈28周,b组28-29^6周,c组30-31^6周,d组32-33^6周）,分析比较各组采取保守治疗的产妇及围生儿结局。【结果】ESP母儿并发症随孕周增加逐渐降低,新生儿窒息率和围生儿病死率a组最高,b组次之,且与其他两组相比差异有显著性（均P〈0.01）。b组期待治疗时间明显长于其他各组（P〈0.05）。各组分娩方式均以剖宫产为主。【结论】在加强母胎监护的同时,ESP患者经期待治疗,可以适当延长孕龄,从而取得较好的围生儿结局而不增加孕产妇的危险。
[Obiective] To explore pregnancy termination of early onset severe preeclampsia （ESP）. [Methods] The clinic data of 68 cases of ESP patients were retrospectively analyzed. They were divided into 4 groups according to onset pregnant week： group A（G28 week）,, group B （28-296 week）, group C （30-316 week） and group D （32- 336 week）. The outcome of pregnant women who received expectant management and perinatal fetus were analyzed respectively. [Results]Maternal and infant complications of ESP declined when pregnant week prolonged. Neonatal asphyxia rate and perinatal fetus mortality were highest in group A and the next was group B, and significant differences were found when compared with those of other groups （ P 〈0.01）. Expectant management time of group B was significantly longer than that of the other groups （ P 〈0.05）. Caesarean section was main labor mode for all groups. [Conclusion]ESP patients can prolong pregnant week properly through expectant management and the strengthening of mother and fetal monitoring simultaneously, so that better perinatal fetus outcome can be obtained without increasing the risk of pregnant women.
出处
《医学临床研究》
CAS
2008年第6期1049-1050,1053,共3页
Journal of Clinical Research
