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目的观察早发型重度子痫患者不同妊娠时机和分娩方式选择对母婴结局的影响。方法选取2013年3月-2015年3月在该院接受治疗的68例早发型重度子痫孕产妇为研究对象,随机分为3组,A组20例,B组20例,C组28例。结果3组早发型重度子痫孕产妇的一般临床特征及并发症发生率比较,差异均无统计学意义(P>0.05)。3组孕产妇的发病孕周、分娩孕周以及治疗时间比较,差异均有统计学意义(P<0.05)。两组之间发病孕周和分娩孕周比较,差异有统计学意义(P<0.05)。B组的治疗时间明显高于A组和C组,差异均有统计学意义(P<0.05),但是A组和C组之间的治疗时间相比差异无统计学意义(P>0.05)。3组之间顺产率以及剖宫产率比较,差异均无统计学意义(P>0.05)。结论发病孕周的早晚直接影响到围产儿的结局。发病孕周越迟围产儿的结局越好。患者的发病孕周越短,意味着多器官同时受损的概率就越大。选择剖宫产分娩对母亲和胎儿较安全。
Objective To observe the effects of different pregnancy timing and mode of delivery on maternal and infant outcomes in patients with early-onset severe eclampsia. Methods 68 pregnant women with early-onset severe eclampsia who were treated in our hospital from March 2013 to March 2015 were selected and randomly divided into three groups: 20 cases in group A, 20 cases in group B and 28 cases in group C . Results There were no significant differences in the general clinical features and complication rates among the three groups of early-onset severe eclampsia (P> 0.05). The gestational age, gestational age and the treatment time of the three groups of pregnant women were significantly different (P <0.05). The difference between the two groups was significant (P <0.05). The treatment time in group B was significantly higher than that in group A and C (P <0.05), but there was no significant difference in the treatment time between group A and group C (P> 0.05). There was no significant difference in the incidence of cesarean section between the three groups (P> 0.05). Conclusion The incidence of gestational weeks directly affects the outcome of perinatal children. The later the onset of gestational weeks, the better the outcome of perinatal children. The shorter the gestational age of the patient, the greater the probability of multiple organ damage at the same time. Choose cesarean section delivery of the mother and fetus safer.