重度子痫前期患者122例临床分析

Clinical analysis on 122 patients with severe preeclampsia

目的:探讨重度妊娠子痫前期患者的母婴结局及终止妊娠的时机与分娩方式。方法:对122例重度子痫前期患者的临床资料进行回顾性分析。结果:孕龄<34周组与34～36+6周组、≥37周组的孕产妇并发症发生率随发病孕周延长而下降,但各组间比较差异无统计学意义。不同孕周的新生儿窒息及新生儿死亡则差异有统计学意义(P<0.01)。结论:治疗重度子痫前期及子痫适时终止妊娠是关键,终止妊娠方式主要为剖宫产。

Objective： To explore the maternal -fetal outcomes, the opportunity to terminate pregnancy and the delivery modes of patients with severe preeclampsia. Methods： The clinical data of 122 patients with severe preeclampsia were analyzed retrospectively. Results： The incidences of complications in 〈 34 gestational weeks group, 34 -36 ＋6 gestational weeks group and I〉37 ges- tational weeks group decreased with the extension of gestational weeks, but there was no significant difference among different groups. There was significant difference in the incidence of neonatal asphyxia and neonatal mortality among different groups （P 〈 0.01 ） . Conclusion： Terminating pregnancy in a proper time is the key for the treatment of eclampsia and preeclampsia, the main method to terminate pregnancy is cesarean section.