摘要
目的:探讨早发型重度子痫前期期待治疗的期限对母儿结局的影响。方法:选择30例27—32孕周病情稳定而无合并症的患者进行期待治疗,期待治疗≤10d者16例(A组),〉10d者14例(B组),比较两组期待治疗的母儿结局。结果:30例入选患者,平均延长孕周9.14±6.13d;两组的确诊孕周无显著性差异(P〉0.05);胎儿窘迫及小于胎龄儿发生率B组明显高于A组(P〈0.05);围生儿死亡率A组明娃低于B组(18.75% vs 33.33%,P〈0.05)。结论:对早发型重度子痫前期患者实施选择性期待治疗时,应严格评估母儿状况,治疗时间应有期限。
Objective: To explore the impact of the duration of expectant management on the fetaomaternal outcome in early onset severe pre- eclampsia. Methods: 30 cases with severe pre -eclamqsia at 27 N 32 weeks'gestation were treated with expectant management. They were divided into two groups. In group A, the duration of 16 cases was 3 - 10 days. In group B, the duration of 14 cases was above 11 days. The fetaomaternal outcome of the two groups was compared. Results: The average pregnancy prolongation of all 30 study cases was 9. 14 ±6. 13 days. There was no different between two groups in the time of admission ( P 〉0. 05 ) . The rate of fetal distress and small for gestational age in group B were higher than those in group A ( P 〈 0. 05 ) . The incidence of perinatal death in group A was lower than group B ( P 〈 0. 05 ) . Conclusion: Sufficient and careful assessment is needed for the maternal and infant status before determining the expectant management for early severe pre - eclampsia. The duration of expectant management should be limited.
出处
《中国妇幼保健》
CAS
北大核心
2006年第18期2501-2503,共3页
Maternal and Child Health Care of China
关键词
子痫前期
早发型
期待治疗
母儿结局
Pre - eclampsia Early onset Expectant management Outcome