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目的探讨子痫前期并发胎盘早剥与单纯胎盘早剥妊娠结局以及分娩方式的差异。方法将102例患者,按照是否合并胎盘早剥分为两组,比较两组的妊娠结局以及分娩方式。结果观察组死胎、胎儿窘迫、胎盘卒中、新生儿窒息和子宫切除的发生率均高于对照组(P<0.05),两组顺产率差异无统计学意义(P>0.05)。结论子痫前期并发胎盘早剥的妊娠结局总体较差,对子痫前期的早诊断和治疗,是提高胎盘早剥产妇妊娠结局的方法之一。
Objective To explore the difference of pregnancy outcome and delivery mode between preeclampsia complicated with placental abruption and simple placental abruption. Methods A total of 102 patients were divided into two groups according to whether they had placental abruption or not. The pregnancy outcome and mode of delivery were compared between the two groups. Results The incidence of stillbirth, fetal distress, placental stroke, neonatal asphyxia and hysterectomy in the observation group were higher than those in the control group (P <0.05). There was no significant difference between the two groups (P> 0.05). Conclusions The pregnancy outcome of preeclampsia with placental abruption is generally poor. Early diagnosis and treatment of preeclampsia is one of the methods to improve the pregnancy outcome of placental abortion.