论文部分内容阅读
目的探讨早发型重度子痫前期对围生期母婴预后的影响。方法对85例早发型(孕28~34周)重度子痫前期的患者临床资料进行回顾性分析,根据其期待治疗后的终止妊娠时间不同分为三组:A:28~32+6周23例,B:33~34+6周46例,C:>35周16例。结果早发型重度子痫前期患者期待治疗平均延长孕周(11.5±6.9)d,围生儿死亡率随发病孕周的延长而显著降低,差异有统计学意义(P<0.05),并发症发生率随发病孕周增长而降低。结论早发型重度子痫前期严重影响母儿预后,适当的期待治疗有助于改善围产儿预后及减少孕产妇并发症。并在期待治疗过程中,应严密监护母胎情况;选择适当孕周终止妊娠。
Objective To investigate the effect of early onset severe preeclampsia on the prognosis of perinatal maternal and infant. Methods The clinical data of 85 patients with severe preeclampsia (gestational age 28-34 weeks) were retrospectively analyzed and divided into three groups according to their expected termination of pregnancy: A: 28 ~ 32 + 6 weeks 23 Cases, B: 33 cases of 34 + 6 weeks in 46 cases, C:> 35 weeks in 16 cases. Results Premature onset severe preeclampsia was expectantly treated for an average of 11.5 ± 6.9 days of gestational age, and the perinatal mortality rate was significantly decreased with the prolongation of gestational weeks. The difference was statistically significant (P <0.05) and complications Rate decreased with gestational weeks increased. Conclusion Early onset severe preeclampsia has a serious impact on the prognosis of maternal and infant. Appropriate expectant treatment will help to improve the prognosis of perinatal children and reduce maternal complications. And in the process of looking forward to treatment, maternal conditions should be closely monitored; select the appropriate gestational age to terminate the pregnancy.