40例重度子痫前期及子痫妊娠结局临床分析

Clinical Analysis of the Pregnancy Outcome of 40 Cases of the Severe Pre-eclampsia and Eclampsia

目的探讨重度子痫前期及子痫的妊娠结局情况。方法分析40例重度子痫前期及子痫母婴的妊娠结局,包括孕产妇死亡、剖宫产分娩、胎盘早剥、产后出血及围产儿死亡、低出生体重、新生儿窒息等情况,并与同期正常住院分娩的40例产妇进行比较。结果子痫组孕产妇的顺产率显著低于对照组。同时,子痫组正常围产儿的比率显著低于对照组(P<0.05)。结论重度子痫前期及子痫严重危害母婴健康,须进行早发现、早预防、早治疗,其中终止妊娠是降低孕产妇及围生儿死亡率的有效措施。

Objective To investigate the pregnancy outcome of the severe pre-eclampsia and eclampsia. Methods Fourty patients of severe pre-eclampsia and eclampsia maternal were detected,including maternal mortality,cesarean delivery, placental abruption,postpartum hemorrhage and perinatal death,low birth weight,neonatal asphyxia. And they were compared with 40 cases of normal cases. Results The eutocia rate of the eclampsia group is much lower than that of the control group. At the mine time,the nomal newbaby of the eclampsia group is singnificant lower than that of the control group（P〈0.05）. Conclusion The severe pre-eclampsia and eclamp- sia serious harm to maternal and child health. It is necessary to carry out early detection,early prevention,and early treatment. And termination of pregnancy is an effective measures to reduce maternal and perinatal mortality in children.