论文部分内容阅读
目的:了解早发型子痫前期并发症发生情况及妊娠结局的特点。方法:选择2009年1月～2010年12月60例早发型子痫前期患者,依据入院时子痫前期发病时间将其中的32例分为A组(发病孕周<28周),其余分为B组(发病孕周>28周)。结果:A组患者终止妊娠时间平均为(29.3±2.8)周,期待治疗时间平均为(9.0±2.4)天,显著少于B组的(33.6±1.8)周和(12.1±2.3)天,差异有统计学意义(P<0.05);A组患者剖宫产率为15.6%,显著低于B组(P<0.05);两组患者围生儿结局对比显示,胎死宫内、新生儿死亡、围产儿死亡及围产儿入住NICU发生率,差异有统计学意义(P<0.05)。两组患者并发症发生率比较无统计学差异(P<0.05)。结论:早发型子痫前期的患者,病情严重,并发症多,围生儿存活率低。对于既往曾有早发型子痫前期的患者,再次妊娠时,应依据情况提前进行处理,延缓疾病进展,在保障母体安全的情况下,最大程度的提高围生儿存活率。
Objective: To understand the incidence of early onset preeclampsia and pregnancy outcome characteristics. Methods: Sixty patients with early-onset preeclampsia from January 2009 to December 2010 were divided into group A (onset gestational age <28 weeks) according to the time of onset of preeclampsia on admission, and the rest were divided into Group B (gestational gestational age> 28 weeks). Results: The average duration of termination of pregnancy in group A was (29.3 ± 2.8) weeks, the expected duration of treatment was (9.0 ± 2.4) days, significantly less than that in group B (33.6 ± 1.8) weeks and (12.1 ± 2.3) days, respectively (P <0.05). The rate of cesarean section in group A was 15.6%, which was significantly lower than that in group B (P <0.05). The comparison of perinatal outcome in the two groups showed that the rate of cesarean section and neonatal death , Perinatal mortality and perinatal NICU incidence, the difference was statistically significant (P <0.05). There was no significant difference in complication rates between the two groups (P <0.05). Conclusion: The patients with early onset preeclampsia have serious illness, many complications and low perinatal survival rate. For patients with pre-existing pre-eclampsia, pregnancy should be treated as early as possible to delay the progress of the disease, and to maximize the perinatal survival rate under the condition of ensuring maternal safety.