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目的探讨早发型重度子前期终止妊娠时机与分娩方式对围生儿结局的影响及其意义。方法将确诊并治疗的早发型重度子前期患者80例,根据患者终止妊娠时间不同分组,其中A组(孕期<28周)38例,B组(28~31+6周)25例,C组(≥32周)17例。根据患者分娩方式不同分为两组,阴道分娩组26例,剖宫产组54例。比较分析各组间不同因素对围生儿结局的影响。结果终止妊娠时间方面,3组围生儿Apgar评分结果显示A组B组>C组;新生儿病死率A组>B组>C组。分娩方式方面,剖宫产组围生儿Apgar评分明显高于阴道分娩组,其新生儿窒息率、病死率均低于阴道分娩组,差异有统计学意义(P<0.05)。结论早发型重度子前期患者终止妊娠时间越早,围生儿病死风险越高,应给予期待治疗延长孕期,而采用剖宫产可有效降低孕围生儿的窒息率及病死率。
Objective To investigate the effect of premature termination of pregnancy and delivery mode on perinatal outcome in early-onset severe molars and its significance. Methods Eighty patients with early-onset severe preeclampsia were diagnosed and treated. According to the different groups of patients with termination of pregnancy, 38 patients in group A (pregnancy <28 weeks), 25 patients in group B (28-31 + 6 weeks), C Group (≥ 32 weeks) in 17 cases. According to different modes of delivery of patients divided into two groups, vaginal delivery group 26 cases, 54 cases of cesarean section. The effects of different factors on the outcome of perinatal children were compared and analyzed. Results As for the termination of pregnancy time, Apgar scores of three groups of infants showed that group A group B> group C; group A of neonatal mortality> group B> group C. In terms of mode of delivery, Apgar scores in perinatal cesarean section group were significantly higher than those in vaginal delivery group, and neonatal asphyxia rate and mortality rate were lower than vaginal delivery group, the difference was statistically significant (P <0.05). Conclusions The earlier the termination of pregnancy in patients with early-onset severe preeclampsia, the higher the risk of perinatal death, expectant treatment should be given to extend the pregnancy. However, cesarean section can effectively reduce the asphyxia and mortality of pregnant children.