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目的:观察安全宫内转运在子痫前期患者中的应用效果。方法:选择广州市妇女儿童医疗中心近3年来子痫前期宫内转运孕妇为观察对象,比较其转运后分娩时机、分娩结局(新生儿并发症、产后出血及子痫)、救治费用等要素,总结安全宫内转运在子痫前期中作用。结果:安全宫内转运后,子痫前期患者的产科并发症(产后出血率、子痫发作率)及医疗费用无明显增加;与同时期宫外转运儿相比较,新生儿并发症(新生儿窒息、新生儿肺炎、缺血缺氧性脑病)的发生率明显下降。结论:安全宫内转运可应用于子痫前期患者,可改善分娩结局,降低新生儿并发症发生率。
Objective: To observe the effect of safe intrauterine transfer in patients with preeclampsia. Methods: The pregnant women who were intrauterine transfer of preeclampsia in Guangzhou Women and Children Medical Center during the recent 3 years were selected as the observation objects. The delivery timing, delivery outcome (neonatal complications, postpartum hemorrhage and eclampsia), treatment costs and other factors were compared. Summarize the role of safe intrauterine transfer in preeclampsia. Results: There was no significant increase of obstetric complications (postpartum hemorrhage rate, eclampsia rate) and medical expenses in patients with preeclampsia after safe intrauterine transfer. Comparing with ectopic transit patients in the same period, neonatal complications Asphyxia, neonatal pneumonia, hypoxic-ischemic encephalopathy) was significantly reduced. Conclusion: Intrauterine intrauterine transfer can be applied to patients with preeclampsia, which can improve delivery outcomes and reduce the incidence of neonatal complications.