目的:通过临床回顾性研究,探讨早发型子痫前期终止妊娠的时机与分娩方式的选择。方法:选取2007～2010年入住武警河南总队医院妇产科的早发型子痫前期患者78例,根据孕周分为A组10例(24～27周),B组23例(28～31周),C组45例(32～34周)。观察患者入院孕周、终止妊娠的孕周、分娩方式、新生儿体重及围产儿死亡等情况。结果:3组新生儿窒息率、低体重儿发生率、围产儿死亡发生率逐次降低,差异皆具有明显统计学意义(P<0.01);总经阴分娩率为23.08%;总剖宫产率为76.92%,临床多选择剖宫产。结论:在病情允许的前提下,早发型子痫前期患者终止妊娠的时间最好是在孕周34周后,终止妊娠的首选方式是剖宫产。 Objective: To investigate the timing of termination of pregnancy and the choice of mode of delivery by clinical retrospective study. Methods: Seventy-eight patients with early-onset preeclampsia admitted to the Armed Police Corps Hospital of Henan Province from 2007 to 2010 were divided into group A (n = 10) (24-27 weeks), group B (n = 23) ), C group 45 cases (32 to 34 weeks). The patients were admitted to hospital for gestational weeks, gestational weeks of termination of pregnancy, mode of delivery, neonatal weight and perinatal mortality and so on. Results: The incidences of neonatal asphyxia, low birth weight and perinatal mortality decreased in three groups, with significant difference (P <0.01). The total vaginal delivery rate was 23.08%. The total cesarean section rate 76.92%, clinical choice of cesarean section. CONCLUSIONS: Subjects with early onset preeclampsia are best terminated with caesarean section 34 weeks after gestational age, when the condition permits.