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目的观察不同孕期期待治疗早发型重度子痫前期患者对母婴结局的影响。方法回顾分析该院2014年1月-2015年12月收治的早发型重度子痫前期患者156例的临床资料,依据发病孕期将其分为3组,A组孕25~26周发病,B组孕29~32周发病,C组孕31~34周发病。观察3组孕妇并发症发生情况和围生儿结局以及期待治疗时间。结果 3组孕妇并发症总发生率比较差异无统计学意义(P>0.05);孕期越长胎儿窘迫、宫内死亡、新生儿窒息及死亡的发生率越低(P<0.05);B组期待治疗的时间明显长于A组与C组(P<0.05)。结论早发型重度子痫前期对母婴预后有深远影响,通过适当期限的期待治疗可显著改善母婴结局,剖宫产仍是终止重度子痫前期的主要手段。
Objective To observe the effects of different pregnancy expectant early premature eclampsia patients on maternal and infant outcomes. Methods The clinical data of 156 patients with early-onset severe preeclampsia who were treated in our hospital from January 2014 to December 2015 were retrospectively analyzed. According to the incidence of pregnancy, they were divided into 3 groups, group A was pregnant from 25 to 26 weeks pregnant, group B Pregnancy 29 to 32 weeks of onset, C group of pregnant 31 to 34 weeks of onset. The incidence of complications of the pregnant women and the outcome of perinatal children in the three groups were observed as well as the expected treatment time. Results There was no significant difference in the incidence of complications between the three groups (P> 0.05). The longer the pregnancy was, the lower the incidence of fetal distress, intrauterine death, neonatal asphyxia and death (P <0.05). The expectation of group B Treatment time was significantly longer than the A group and C group (P <0.05). Conclusion Early onset severe preeclampsia has far-reaching impact on the prognosis of maternal and infant. Expectant treatment with appropriate duration can significantly improve maternal and infant outcomes. Cesarean section is still the main means to terminate severe preeclampsia.