摘要
目的探讨早发型重度子痫前期期待治疗对母婴结局的影响。方法回顾性分析我院2009年1月至2011年6月收治的140例早发型重度子痫前期患者的临床资料,按照孕周的不同分为A组(<28周)、B组(28～31+6周)和C组(32～34周),比较三组患者的母婴结局。结果随着孕龄的延长,并发症的发生率逐渐降低,三组比较差异无统计学意义(P>0.05);B组的治疗时间明显长于A、C组(P<0.05);随着孕龄的延长,胎死宫内、新生儿窒息、死亡率逐渐降低,A组与B、C组比较,差异有统计学意义(P<0.05)。结论早发型子痫前期患者的孕周越小,母婴预后越差,而短期保守治疗可有效延长孕周,同时,在适当的时候采取合适的方式终止妊娠,可改善母婴结局。
Objective To explore the influence on maternal and neonatal outcomes of expectant management on early-onset severe preeclampsia. Methods 140 cases of early-onset severe preeclampsia from January 2009 to June 2011 were divided into group A（ 〈 28 weeks）, group B （28 - 31 ＋6 weeks）and group C（ 32 - 34 weeks）, the outcomes of the three groups were analyzed. Results With the extension of gestational age, the incidence of complications was gradually decreased, but there was no difference between the three groups （ P 〉 0. 05 ） ; the treatment time of group B was longer than that of the other groups （ P 〈 0. 05 ） ; intrauterine, newborn death rate of gradually reduced, compared with group B and group C, those of group A decreased significantly （ P 〈 0.05 ）. Conclusion The smaller of the gesta- tional weeks, the worse of the mother and infant prognosis. Short-term expectant treatment can effectively prolong gesta- tional age, and at the correct time, taking the right way to terminate pregnancy can improve the mother and infant＇s out- comes.
出处
《实用药物与临床》
CAS
2012年第7期401-402,共2页
Practical Pharmacy and Clinical Remedies
关键词
早发型
重度子痫前期
期待治疗
母婴结局
Early onset
Severe preeclampsia
Expectant management
Maternal and neonatal outcomes
