摘要
目的:探讨早发型重度子痫前期对妊娠结局的影响。方法:收治重度子痫前期患者207例,以发病孕周34周为界限,分为早发型重度子痫前期组78例(早发型组)及晚发型重度子痫前期组129例(晚发型组)。比较两组的一般情况、并发症分娩方式及围生儿结局等指标。结果:早发型重度子痫前期发病孕周越早,患者并发症的发生率越高(P>0.05),新生儿死亡率和围生儿死亡率随着发病孕周的延长及治疗时间的延长而显著降低(P<0.05)。结论:早发型重度子痫前期孕妇病情严重,围生儿愈后不佳,且发病越早,围生儿愈后越差。严格选择病例行短期的期待治疗是安全有效的。
Objective:To investigate the influence of early onset of severe preeclampsia on pregnancy outcome.Methods:207patients with severe preeclampsia were selected.We divided the patients into the early onset of severe preeclampsia group with 78cases(the early onset group) and late onset severe preeclampsia group with 129 cases(the late onset group) according to the incidence of gestational age of 34 weeks for boundaries.We compared the demographic features,pregnancy complications,delivery mode and perinatal outcomes between two groups.Results:The smaller the gestational weeks in early onset severe preeclampsia,the higher the maternal complication rates(P>0.05).The perinatal and neonatal mortality rates declined following along with the prolongation of onset week and time of treatment(P<0.05).Conclusions:The early onset of severe preeclampsia patients in serious condition.The earlier the onset takes place,the worse the prognosis will be.It is crucial to strictly screen out proper cases for short period of expectant therapy before termination of gestation.
关键词
早发型重度子痫前期
妊娠结局
并发症
Early onset severe preeclampsia
Outcome of pregnancy
Complications
