论文部分内容阅读
目的:探讨早发型重度子痫前期对围生期母婴预后的影响及终止妊娠的时机和方式。方法:将2012年7月~2013年7月开封市妇幼保健院的254例重度子痫前期患者分为早发型(<34周)组和晚发型(≥34周)组,其中早发型组患者116例,晚发型组138例,比较两组并发症发生率、死胎率、新生儿窒息率及围生儿死亡率。结果:早发型组低蛋白血症、子痫、胎盘早剥、胎儿宫内窘迫、死胎、新生儿窒息率及围生儿死亡率均大于晚发型组,差异有统计学意义(P<0.05);两组终止妊娠的方式均以剖宫产为主。结论:早发型组母婴并发症发生率高,围生儿死亡率高,适时终止妊娠可以改善母婴结局。
Objective: To investigate the impact of early-onset severe preeclampsia on the prognosis of perinatal maternal and infant and the timing and manner of termination of pregnancy. Methods: 254 patients with severe preeclampsia from July 2012 to July 2013 were divided into early-onset (<34 weeks) group and late-onset (≥34 weeks) group. The patients with early-onset type 116 cases, late-onset group of 138 cases, the incidence of complications, stillbirth rate, neonatal asphyxia and perinatal mortality were compared. Results: The incidence of hypoproteinemia, eclampsia, placental abruption, fetal distress, stillbirth, neonatal asphyxia and perinatal mortality were higher in early-onset group than those in late-onset group (P <0.05) ; The two groups of methods of termination of pregnancy are mainly cesarean section. Conclusion: The incidence rate of maternal and infant complication in early-onset group is high, and the perinatal mortality rate is high. The timely termination of pregnancy can improve maternal and infant outcomes.