目的:探讨阴道分娩和剖宫产对早发型重度子痫前期患者母婴结局的影响,以找到最佳分娩方案。方法:选取202例早发型重度子痫前期患者,按照终止妊娠的方式将患者分成两组,A组为阴道分娩(82例),B组为剖宫产(120例)。比较两组孕妇并发症出现情况和围生儿窒息、死亡及胎死宫内的情况。结果:A组并发症发病率为36.59%,B组并发症发病率为27.50%,两组比较,差异无统计学意义(P>0.05)。在产后出血方面,A组孕妇出血量为216.40 ml,B组孕妇出血量为354.20 ml,两组比较,差异有统计学意义(P<0.05)。两组新生儿窒息和死亡方面比较,差异无统计学意义(P>0.05)。结论:两种分娩方式对新生儿并发症影响方面无显著差异,综合对孕妇及新生儿预后方面考虑,对早发型重度子痫前期患者应首先考虑阴道分娩。 Objective: To investigate the effects of vaginal delivery and cesarean delivery on maternal-infant outcome in patients with premature eclampsia to find the best delivery program. Methods: Totally 202 patients with early-onset severe preeclampsia were divided into two groups according to the termination of pregnancy: group A was vaginal delivery (n = 82) and group B was cesarean (n = 120). Comparisons between the two groups of complications of pregnant women and perinatal asphyxia, death and intrauterine fetal conditions. Results: The incidence of complications in group A was 36.59%, and the incidence of complications in group B was 27.50%. There was no significant difference between the two groups (P> 0.05). In postpartum hemorrhage, the amount of bleeding in pregnant women in group A was 216.40 ml, and the amount of bleeding in pregnant women in group B was 354.20 ml. There was significant difference between the two groups (P <0.05). Two groups of neonatal asphyxia and death compared, the difference was not statistically significant (P> 0.05). Conclusion: There is no significant difference between the two modes of delivery on neonatal complications. Considering the prognosis of pregnant women and neonates, vaginal delivery should be considered first in patients with early-onset severe preeclampsia.