摘要
目的探讨早发型重度子痫前期终止妊娠时机与分娩方式对围生儿结局的影响。方法将本科室于2008年1月—2010年12月,3年期间的早发型重度子痫前期的全部患者中,随机抽取120例做为样本,将其分为A、B两组。根据终止妊娠时机:分为A组为<34周,B组为≥34周;再按照分娩方式:分为阴道分娩组和剖宫产组。比对分析组别间不同因素对围生儿结局和产妇并发症造成的影响。结果围生儿病死率,B组孕妇患者(44.3%)明显比A组孕妇患者(65.7%)低,计算得到P<0.05,故他们的病死率不同存在一定的统计学意义,因为P>0.05,而孕产妇并发症发生几率为(P>0.05)组间差异均无统计学意义。不同不存在统计学意义。阴道分娩组(围生儿死亡率为65.6%)均高于剖宫产组(围生儿死亡率41.6%),比对两者区别,计算得到P<0.05,因此存在一定的统计学意义。结论以患有早发型重度子痫前期的孕妇孕周适当延长为目的,最好在34周以后终止妊娠,并且合理的采用剖宫产手术,能有效降低围生儿的病死率。与此同时,患者相应的并发症的发生几率也将相应减少。
Objective To analyze the effects of termination pregnancy opportunity and delivery mode in early-onset severe preeclampsia on perinatal outcome.Methods 120 patients with early-onset severe preeclampsia in January 2008 to December 2010 were randomly divided as the sample.Patients were divided into group A and B according to termination pregnancy opportunity, group A〈34 weeks,group B≥34 weeks;and according to delivery mode patients were divided into vaginal delivery group and cae- sarean section group. Effects of different factors on perinatal outcome and parturient＇s complications were comparatively analyzed. Results Perinatal mortality of group B （44.3%） was significantly lower than group A （66.7%）,P〈0.05,difference was statistically significant.And perinatal mortality of vaginal delivery group （65.6%） was higher than caesarean section group （41.6% ）,P〈O.OS,dif- ference was statistically significant.Conclusion Inorder to prolong gestational weeks of parturient properly,the best termination pregnancy opportunity is above 34 weeks,performing caesarean section properly can reduce perinatal mortality effectively,as well as reduce incidence of complications accordingly.
出处
《中国卫生产业》
2014年第12期7-8,10,共3页
China Health Industry
