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为了探讨子痫终止妊娠的时机及方式,以提高母婴存活率,提高母婴的生活质量,对我院1990年1月～1998年12月收治的96例子痫采用系统回顾性分析法进行分析。结果显示:34～36~(+6)孕周抽搐控制至分娩时间48～72小时新生儿窒息率最低,而≥37孕周抽搐控制至分娩时间3～12小时新生儿窒息率最低,时间越长,新生儿窒息率越高。34～36~(+6)孕周新生儿窒息率明显低于≥37孕周(P<0.05)。剖宫产术新生儿窒息率明显低于阴道产(P<0.01)。结论,子痫终止妊娠的时机以34～36孕周为佳;抽搐控制时间宜为48～72小时;≥37孕周抽搐控制时间宜为3～12小时,终止妊娠方式首选剖宫产术。
In order to explore the timing of eclampsia termination of pregnancy and ways to improve maternal and child survival and improve the quality of life of pregnant women, our hospital from January 1990 to December 1998 96 cases of eclampsia were analyzed by systematic retrospective analysis . The results showed that: 34 ~ 36 ~ (+6) gestational weeks convulsions control the delivery time 48 to 72 hours neonatal asphyxia rate minimum, and ≥ 37 gestational weeks convulsions control to delivery time 3 to 12 hours neonatal asphyxia lowest, Long, neonatal asphyxia rate higher. 34 ~ 36 ~ (+6) neonatal asphyxia gestational weeks was significantly lower than ≥ 37 gestational weeks (P <0.05). Cesarean section neonatal asphyxia was significantly lower than vaginal (P <0.01). Conclusion: The timing of termination of pregnancy with eclampsia should be 34-36 gestational weeks. The duration of seizure control should be 48-72 hours. The control of seizures ≥37 gestations should be 3-12 hours, and the cesarean section should be terminated.