重度子痫前期并发胎盘早剥的临床特征及对母婴的影响观察

Clinical features of severe preeclampsia complicated by placental abruption and the impact on maternal and child

目的分析探讨重度子痫前期并发胎盘早剥的临床特征及对母婴的影响。方法回顾性分析本院于2010年12月～2011年7月收治的80例重度子痫前期患者的临床资料,27例重度子痫前期并发胎盘早剥的患者为观察组,53例重度子痫前期未并发胎盘早剥的患者为对照组,对两组患者的临床特征、分娩结局、母婴结局等进行对比分析。结果观察组患者早产率为88.9%,对照组早产率为62.2%,观察组明显高于对照组(P<0.05);两组患者在血性羊水、胎儿窘迫、宫腔积血以及各项实验室检查指标等临床特征上比较,观察组患者发生率明显高于对照组(P<0.05);两组母婴结局中新生儿窒息、死胎、产后出血、子宫切除、胎盘卒中、凝血功能障碍的发生率比较,观察组发生率明显高于对照组(P<0.05)。结论重度子痫前期并发胎盘早剥对母婴结局会造成很大的影响,对于发现重度子痫前期的孕妇要进行早期预防和积极治疗,对于降低胎盘早剥的发生率和改善母婴结局有重要意义。对于已并发胎盘早剥的重度子痫前期孕妇,为了保证孕妇生命安全要尽早结束妊娠。

Objective To analyze the clinical features of severe preeclampsia complicated by placental abruption, and observe the impact of maternal and child. Methods Clinical data of 80 cases of severe preeclampsia patients admitted to the hospital in December 2010 to 2011 July was analyzed, 27 cases of severe preeclampsia complicated by placental abrnption patients in observation group, 53 cases of severe preeelampsia early was not complicated by placental abruption patients in control group, the clinical characteristics of the two groups of patients, birth outcomes, maternal and neonatal outcomes were analyzed. Results Preterm birth rate of observation group was 88.9% and it was 62.2% of control group, the observation group was significantly higher than that in control group （P 〈 0.05）; bloody amniotic flu- id, fetal distress, uterine hemorrhage, and the laboratory parameters and clinical characteristics of two groups com- pared, the incidence of observation group were significantly higher （P 〈 0.05）; maternal and neonatal outcomes of neonatal asphyxia, stillbirth, postpartum hemorrhage, hysterectomy, placenta stroke, coagulation disorders of two groups compared, the incidence of observation group were significantly higher than that in control group （P 〈 0.05）. Conclu- sion Severe preeclampsia complicated by placental abruption will cause a great impact on maternal and neonatal out- comes, we found that pregnant women with severe preeclampsia early prevention and active treatment for reducing the incidence of placental abruption and improve maternal and neonatal outcomes significance. Has been complicated by placental abruption severe preeclampsia pregnant women as soon as possible, in order to ensure the safety of life of the pregnant woman to end a pregnancy.