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重度子痫前期胎盘病理变化对围生儿的影响 被引量:2

Clinical Study on Pathological Changes of Placenta in Severe Pre-eclampsia and the Effect on Neonate
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摘要 目的研究重度子痫前期胎盘病理变化及对围生儿的影响。方法选取正常孕妇20例及重度子痫前期患者30例的胎盘,常规HE染色,观察胎盘形态学变化,同时对新生儿出生体重及阿普加评分进行分析。结果重度子痫前期组胎盘重量显著低于正常孕妇组(P(0.05)。重度子痫前期组胎盘绒毛具有合体滋养细胞结节、细胞滋养细胞和纤维素样坏死的绒毛数显著高于正常孕妇组(P(0.05)。重度子痫前期组新生儿体重及阿普加评分显著低于正常孕妇组(P<0.05)。重度子痫前期组胎盘重量与新生儿体重呈正相关(P<0.05)。结论重度子痫前期胎盘发生病理性改变,并对围生儿产生影响。 Objective To study the effects of pathological changes of placenta in severe pre-eclampsia and the effect on neonate. Methods Placental samples were collected from 20 normal pregnant women and 30 women of severe pre-eclampsia. The tissue sections were assessed for morphological change with HE. Meanwhile, the neonate' s weight and Apgar score were analyzed. Results The weight of placenta in severe pre-eclampsia was significantly lower than the normal group (P 〈 0.05). The numbers of the placental villi with the syncytial knots, cytotrophoblasts, and fibrinoid necrosis in severe pre-eclampsia were significantly higher than that of in the normal group (P 〈0.05). The weight and Apgar score of neonate in severe pre-eclampsia was significantly lower than that of in the normal group (P 〈 0.05). There was positive correlation between weight of placenta and the weight of neonate in severe pre-eclampsia (r =0.61, P 〈 0.05). Conclusion The pathological changes of placenta in severe pre-eclampsia have effect on neonate.
出处 《河南职工医学院学报》 2009年第3期226-228,共3页 Journal of Henan Medical College For Staff and Workers
关键词 重度子痫前期 胎盘 围生儿 severe pre-eclampsia placenta neonate
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