摘要
目的:探讨早发型重度子痫前期终止妊娠的时机选择及母婴结局的关系。方法:回顾性分析132例早发型重度子痫前期患者的临床资料,按其妊娠时间分为A、B、C三组。A组:30-32周(39例);B组:32+1-34周(50例);C组:34+1-36周(43例)。比较三组的临床特点及母儿并发症。结果:A组孕妇并发症发生率最高,与B组、C组比较,差异均具有统计学意义(P<0.05或P<0.01)。A组胎儿及新生儿并发症最高,与B组、C组比较,差异均具有统计学意义(P<0.05或P<0.01)。A、B、C三组孕妇的发病时间、终止妊娠时间、期待治疗组间比较,均具有统计学意义(P<0.05或P<0.01),其中B组期待治疗时间最长,与A组、C组比较,均具有统计学意义(P<0.05)。结论:早发型重度子痫前期尽量延长孕周致孕34周后,减少因胎儿不成熟而导致的围产儿死亡率及并发症,但应严密监护患者的病情变化,以防出现严重的母胎并发症。
Objective： To explore opportunity of terminating pregnancy to patients with early severe preeclampsia and clinical analysis on outcome of infant and mom. Method： Retrospectively analyzing 132 patients＇ medical data who suffered early severe preeclampsia,and dividing them into groups of A,B,C,and 39 cases in group A（30 to 32 weeks）,50 cases in group B（32^（＋1） to 34 weeks）,43 cases in group C（34^（＋1） to 36 weeks）,and comparing clinical features and complications of infant and mom in the 3 groups. Result： Pregnant women＇s complications rate of group A was the highest,comparing with group B and C,there was statistical differences（P〈0.05 or P〈0.01）.Fetal and neonatal complication rate of group A was the highest,comparing with group B and C,there was statistical differences（P〈0.05 or P〈0.01）.Comparisons on time of illness attack,terminating pregnancy and looking forward to treatment in the 3 groups,there was statistical differences（P〈0.05 or P〈0.01）.Among them,time of looking forward to treatment in group B was the longest,comparing with group A and C,there were statistical differences（P〈0.05）. Conclusion： Lengthening gestation to 34 weeks as possible to patients with early severe preeclampsia,in order to reduce perinatal mortality and complications because of premature fetus,yet it should closely monitor patient＇s condition changes,to prevent serious complications of infant and mom.
出处
《河北医学》
CAS
2011年第11期1480-1482,共3页
Hebei Medicine
关键词
早发型重度子痫前期
终止妊娠
孕周
Early severe preeclampsia
Terminating pregnancy
Gestational weeks
