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目的:分析探究早发型重度子痫前期并胎儿生长受限产妇接受期待治疗对妊娠结局的影响。方法:选择2015年7月至2016年7月期间我院收治的的早发型重度子痫前期患者60例为研究对象,按照是否合并有胎儿生长受限将产妇分为研究组(25例)和对照组(35例),所有患者均给予期待治疗,观察分析两组的妊娠结局。结果:1)研究组产妇的妊娠终止时间早于对照组(P<0.05);2)研究组的早产率高于对照组(P<0.05),但两组在新生儿黄疸出险率方面对比无明显差异(P<0.05);3)研究组新生儿的死亡率、窒息率、肺透明膜病变发生率、心脏发育不全发生率均高于对照组(P<0.05)。结论:早发型重度子闲前期合并胎儿生长受限时会增加新生儿的死亡率、窒息率,但通过期待治疗可以改善分娩结局,且期待治疗并不会增加产妇的并发症。
OBJECTIVE: To analyze the effect of expectant treatment on pregnancy outcomes in premature onset severe preeclampsia and fetal growth restriction maternity. Methods: Sixty patients with early-onset severe preeclampsia who were treated in our hospital from July 2015 to July 2016 were selected as the study subjects. The women were divided into study group (25 cases) and control group Control group (35 cases), all patients were given expectant treatment, observed and analyzed the pregnancy outcome of the two groups. Results: 1) The termination of pregnancy in the study group was earlier than that in the control group (P <0.05); 2) The preterm birth rate was higher in the study group than in the control group (P <0.05), but no difference was found in neonatal jaundice (P <0.05); 3) The incidence of neonatal mortality, asphyxia, the incidence of hyaline membrane disease and cardiac hypoplasia in the study group were higher than those in the control group (P <0.05). CONCLUSIONS: Early onset severe preimplantation combined with fetal growth restriction increases neonatal mortality and asphyxia, but expectant care can improve delivery outcomes and expectant treatment does not increase maternal complications.