目的分析并评价期待治疗方法对早发型重度子痫前期母婴结局产生的影响。方法将入我院治疗的186例早发型重度子痫前期患者按孕周分成3组,甲组:56例孕周<28周者,乙组:70例为28周≤孕周<32周者,丙组:64例为32周≤孕周<34周者。按照3组母婴状况给予不同时间的保守治疗,比较3组的母婴预后与妊娠结局。结果甲组患者的期待治疗天数以及终止妊娠时间均低于乙组和丙组,乙组病情加重情况比甲组及丙组患者更加明显,差异显著;甲组终止妊娠主要采取引产,乙组与丙组主要采取剖宫产,甲组与乙组和丙组相比差异显著;甲组胎儿或新生儿病死率均高于乙组及丙组,均具有统计学意义。结论早发型重度子痫前期能够对母婴健康带来严重的危害,在给予期待治疗时应尽量延长孕周,并全面考虑母婴状况,适时适式采取终止妊娠措施,以避免对母婴产生伤害。 Objective To analyze and evaluate the effect of expectant treatment on the outcomes of premature infant with severe preeclampsia. Methods 186 patients with early-onset severe preeclampsia who were treated in our hospital were divided into 3 groups according to gestational age. Group A: 56 cases of gestational weeks <28 weeks; Group B: 70 cases of 28 weeks ≤ gestational weeks <32 weeks Group C: 64 patients were 32 weeks ≤ gestational weeks <34 weeks. In accordance with the three groups of maternal and child conditions given different periods of conservative treatment, maternal and child prognosis and pregnancy outcome were compared in three groups. Results The expected treatment days and termination of pregnancy in Group A patients were lower than those in Group B and Group C. Patients in Group B were more severe than those in Group A and Group C. Patients in Group A mainly took induction of labor during termination of pregnancy, Group C mainly cesarean section, Group A and Group B and Group C significant difference; Group A fetus or neonatal mortality were higher than Group B and Group C, were statistically significant. Conclusions Early onset severe preeclampsia can cause serious harm to the health of mother and baby. When expectant treatment is given, the gestational age should be prolonged as much as possible and the condition of mother and baby should be fully considered. The termination of pregnancy should be timely and adaptively adopted to avoid the occurrence of maternal and infant hurt.