摘要
目的研究轻度子痫前期孕妇分娩方式对分娩结局的影响。方法选择2011年1月至2013年1月在深圳市宝安区妇幼保健院就诊的68例轻度子痫前期患者为研究对象,根据分娩方式不同分为接受顺产的观察组(31例)和接受剖宫产的对照组(37例),观察两组原发性结局与继发性结局。结果顺产组胎盘早剥率(0.0%)、HELLP综合征率(3.23%)、重度子痫前期发生率(6.45%)、平均出血量[(245.6±112.4)mL]、产褥期感染率(6.45%)、分娩后卧床时间[(2.58±0.33)d]显著少于剖宫产组(P<0.05);顺产组早产儿(19.35%)、新生儿窒息率(6.54%)、5 min的Apgar新生儿评分<7分的发生率(0.0%)、入住新生儿重症监护室率(3.23%)显著低于剖宫产组(P<0.05);分娩方式与分娩结局相关指标具有显著的相关关系(P<0.01)。结论轻度子痫前期阴道分娩较剖宫产更有优势,对于有引产指征的产妇应鼓励阴道分娩。
Objective To study the effects of delivery mode on birth outcomes in pregnant women with mild preeclampsia.Methods From January 2011 to January 2013,68 patients with mild preeclampsia in Shenzhen Baoan District mMaternal and Child Health Hospital were selected as the research object,and divided into control group（eutocia） and observation group（Cesarean section） according to the mode of delivery,and the primary outcome and secondary outcome of the two groups were observed.Results Placental abruption rate（0.0%）,HELLP syndrome rate（3.23%）,severe preeclampsia rate（6.45%）,the average amount of bleeding（245.6 ± 112.4） mL,puerperal infection rate（6.45%）,time in bed after delivery（2.58 ± 0.33） d of the observation group were significantly lower（less than） than those in the control group（P 0.05）.The rates of preterm children（19.35%）,neonatal asphyxia（6.54%）,5 min Apgar score 7（0.0%）,NICU care rate（3.23%） of the observation group were significantly lower than those of the control group（P 0.05）.The mode of delivery and birth outcomes indicators were obviously correlated（P 0.01）.Conclusion Vaginal delivery has more advantages than Cesarean section for mild preeclampsia.Vaginal delivery should be encouraged if patients have the indications for induction of labor.
出处
《医学综述》
2013年第14期2635-2637,共3页
Medical Recapitulate
基金
2011年深圳市科技计划项目(201103050)
