论文部分内容阅读
目的分析早发型重度子痫前期终止妊娠的时机,探讨其与母婴结局的关系。方法 135例重度子痫前期患者按妊娠时间将其分为A组(30~32周,40例)、B组(32+1~34周,51例)、C组(34+1~36周,44例),比较各组孕妇和胎儿及新生儿的并发症发生情况、各组孕妇的发病时间、终止妊娠时间和期待治疗时间。结果 A组新生儿窒息率、围生儿死亡率、产妇并发症发生率均明显高于B、C两组,差异均具有统计学意义(P<0.05);三组孕妇的发病时间、终止妊娠时间和期待治疗时间组间比较,差异均有统计学意义(P<0.05),A组的期待治疗时间为(1.3±0.2)周,B组的期待治疗时间为(3.3±0.7)周,C组的期待治疗时间为(0.9±0.4)周,B组与A组或C组比较,差异均有统计学意义(P<0.05)。结论早发型重度子痫前期患者延长孕期至34周后可降低围产儿的并发症发生率和死亡率,同时还保证孕产妇的安全。
Objective To analyze the timing of termination of early-onset severe preeclampsia and to explore its relationship with maternal and infant outcomes. Methods 135 patients with severe preeclampsia were divided into group A (30 to 32 weeks, 40 cases), group B (32 + 1 to 34 weeks, 51 cases), group C (34 to 1 to 36 weeks , 44 cases). The incidence of complications of pregnant women, fetuses and newborns in each group were compared. The onset time, the termination of pregnancy and the expected treatment time of each group were compared. Results The incidences of neonatal asphyxia, perinatal mortality and maternal complications in group A were significantly higher than those in groups B and C (P <0.05). The onset time of the three groups of pregnant women and the termination of pregnancy (1.3 ± 0.2) weeks in group A and (3.3 ± 0.7) weeks in group B. The expected treatment time in group B was (3.3 ± 0.7) weeks, while that in group C was (3.3 ± 0.7) weeks. The difference between the two groups was statistically significant The expected duration of treatment was (0.9 ± 0.4) weeks in the group. There was significant difference between group B and group A or group C (P <0.05). Conclusions Early onset severe preeclampsia prolongs pregnancy to 34 weeks and may reduce the incidence and mortality of perinatal complications while ensuring the safety of pregnant women.