摘要
目的探讨重度子痫前期的临床特点及期待治疗的临床效果。方法选择2009年1月～2012年6月在我院诊治的早发型重度子痫前期患者56例为研究对象。孕20—27柏周为A组。孕28～31＋6周为B组，孕32～33柏周为C组．比较三组期待治疗的时间、妊娠结局等。结果三组终止妊娠原因比较，A组以死胎最多，B组和C组以母亲并发症最多。三组终止妊娠方式构成比比较，A组以利凡诺引产最高，B组和C组以剖宫产最高。B组期待治疗的时间最长。A组最短，B组和C组终止妊娠的孕周均大于A组（P〈0．01）。三组腹水、胸水、视网膜病变的发生率比较差异有统计学意义（P均〈0．01），C组最低。同生儿死亡率A组最高，i组新生儿出生体重C组最高，其次为B组，A组最低。结论早发型重度子痫前期严重威胁到孕产妇和围生儿的健康和生命，临床上应尽量延长孕周，提高围生儿的生存能力。
Objective To discuss clinical features of early onset severe preeclampsia and effect of conservative treatmment. Methods Selected 56 cases with early onset severe preeclampsia in Jan 2009-Jun 2012 were devided into A （20-27＋6weeks）, B （28-31＋6 Weeks）, C （32-33＋6 weeks） groups. Conservative treatmment time and pregnancy outcome were compared. Results Termination reasons were compared and stillbirth were most in A group, mother complications were most in B, C groups. Way of termination of pregnam＇y were compared in three groups, induction of labor by rivanol were most in A group, cesarean section were most in B, （; groups. Conservative treatment were longest in B group, and shortest in A group. Timing delivery in B, C groups were longer than A group （P 〈 0.01）. Ascitic fluid, hydrothorax and retinopathy had significant differ ence in three groups （all of P 〈 0.01）. Perinatal mortality in A group was most, and birth weight of C group was heaviest. Conclusion Early onset severe preeclampsia threaten health and life of pregnant women and perineonate, conservative treatment should be selected to extend gestational weeks, improve perinatals survival ability.
出处
《中国现代医生》
2012年第35期156-158,共3页
China Modern Doctor
关键词
子痫前期
妊娠期高血压
期待疗法
Preeclampsia
Gestational hypertension
Conservative treatment
