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目的探讨早发型重度子前期期待保守治疗的临床意义,及终止妊娠时机与围产结局关系。方法回顾分析2006年10月至2012年8月的293例早发型重度子前期患者,分为两组,研究组198例积极治疗,对照组195例(入院期待治疗48 h后终止妊娠)期待治疗,比较两组围生结局。结果对照组的新生儿窒息率和NICU住院率均低于研究组(P<0.05),对照组的新生儿体重明显大于积极治疗组(P<0.01)。结论选择合适的早发型重度子痫前期孕妇进行期待治疗,可以明显改善围生儿结局,对孕产妇也是安全和可行的。
Objective To investigate the clinical significance of early conservative treatment of severe hair follicles and the relationship between the timing of termination of pregnancy and perinatal outcome. Methods A retrospective analysis of 293 patients with early-onset severe preeclampsia from October 2006 to August 2012 were divided into two groups. The study group was enrolled in 198 cases of active treatment and the control group of 195 cases (expectant termination of pregnancy 48 h after admission) Treatment, compared two groups of perinatal outcome. Results The rate of neonatal asphyxia and NICU hospitalization in the control group was lower than that of the study group (P <0.05). The weight of neonates in the control group was significantly greater than that of the active treatment group (P <0.01). CONCLUSIONS: Choosing the right pregnant women with early-onset severe preeclampsia for expectant treatment can significantly improve perinatal outcomes and is also safe and feasible for pregnant women.