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目的分析不同孕周早发型重度子痫前期对母婴结局的影响。方法对46例早发型重度子痫前期病例进行回顾性分析,根据其孕周不同分为两组,即A组20例(28周≤孕周<32周)、B组26例(32周≤孕周<34周),比较两组间孕产妇一般情况、并发症发生情况、围生儿结局。结果 A组并发症发生率与B组比较差异没有统计学意义(P>0.05);两组间围生儿病死率(胎死宫内及新生儿死亡)比较差异有统计学意义(P<0.05)。结论早发型重度子痫前期发病孕周对孕妇严重并发症的影响不显著,但发病孕周越早,其围产儿病死率越高。在保证孕妇安全下可采取保守治疗适当延长胎龄,以期达到胎儿成熟,降低围生儿病死率,提高新生儿存活率。
Objective To analyze the effect of early gestation severe preeclampsia on maternal and infant outcomes in different gestation weeks. Methods 46 cases of early-onset severe preeclampsia were retrospectively analyzed. According to their gestational age, they were divided into two groups: group A, 20 cases (28 weeks ≤ gestational weeks <32 weeks), group B, 26 cases (32 weeks ≤ Gestational age <34 weeks). The general situation of maternal, complication and perinatal outcome were compared between the two groups. Results The incidence of complications in group A was not significantly different from that in group B (P> 0.05). There was a significant difference in perinatal mortality (fetal death and newborn death) between the two groups (P <0.05 ). Conclusion The incidence of severe preeclampsia in gestational age has no significant effect on the serious complications of pregnant women, but the earlier the gestational age is, the higher the perinatal mortality rate is. In ensuring the safety of pregnant women can take conservative treatment to extend the gestational age appropriate, in order to achieve fetal maturity, reduce perinatal mortality, improve neonatal survival.