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目的:探讨并分析早发型子痫前期患者终止妊娠时机以及分娩方式。方法:将2011年11月-2013年12月入住我院的80例早发型子痫前期患者作为研究对象,按照孕周将其划分为A组(24-27周)、B组(28-31周)、C组(32-34周),三组病例数分别为20例、25例、35例,观察三组患者终止妊娠孕周、分娩方式、围生儿死亡和新生儿体重等。结果:80例患者,总阴道分娩率为26.25%,总剖宫产率为73.75%,在临床上大部分患者选择实施剖宫产;三组围生儿死亡发生率、新生儿窒息率以及低体重儿发生率逐次下降,所存差异显著,具有统计学意义,即P<0.05。结论:从本次研究的结果来看,若病情允许,早发型子痫前期患者终止人身妊娠时间最好为孕周34周以后,且终止妊娠首选方式为剖宫产。
Objective: To investigate and analyze the timing of termination of pregnancy and delivery mode in patients with preeclampsia. Methods: Eighty patients with early-onset preeclampsia admitted to our hospital from November 2011 to December 2013 were divided into group A (24-27 weeks), group B (28-31) (32-34 weeks). The number of cases in the three groups were 20 cases, 25 cases and 35 cases respectively. The gestational weeks of pregnancy, mode of delivery, perinatal mortality and newborn weight were observed in the three groups. Results: 80 patients, the total vaginal delivery rate was 26.25%, the total cesarean section rate was 73.75%, most patients in the clinical choice of cesarean section; the incidence of perinatal death, neonatal asphyxia and low The incidence of weight children decreased sequentially, the difference was significant, with statistical significance, P <0.05. CONCLUSIONS: From the results of this study, if the condition allows, the best timing of termination of pregnancy in patients with early onset preeclampsia is 34 weeks after gestational age, and the preferred method of termination of pregnancy is cesarean.