早发型重度子痫前期孕妇分娩结局分析

Early Onset of Severe Preeclampsia Childbirth Outcome Analysis

目的:分析不同孕周发病的早发型重度子痫前期孕妇分娩结局。方法:早发型重度子痫前期孕妇86例,根据发病孕周分成A组(孕周<28周)、B组(28周≤孕周<32周)、C组(32周≤孕周<34周)。所有患者均通过期待性治疗延长孕周,依据病情及胎儿情况选择合适的终止妊娠方式(剖宫产、阴道分娩以及羊膜腔内引产),对比三组的延长孕周时间、新生儿窒息率、围产儿死亡率及剖宫产率。结果:三组平均期待治疗时间无明显差异(P>0.05);三组新生儿窒息率、围产儿死亡率有明显差异,随着孕周延长而下降(P<0.05);剖宫率随着孕周延长增加,三组有明显差异(P<0.05)。结论:早发型重度子痫前期孕妇妊娠结局与发病时孕周有着密切关系,发生时间越早结局越差,通过适当的期待治疗并延长孕周对改善母儿结局有着较好的效果,剖宫产明显降低母儿并发症发生。

Objective： To analyze different gestational weeks the onset of early onset severe preeclampsia childbirth outcome.Methods： Early onset severe preeclampsia in 86 cases,according to the onset of gestational weeks were divided into group A（gestational age ＆lt; 28 weeks）,group B（28≤gestational week ＆lt; 32 weeks）,group C（32 weeks gestational age ＆lt; 34 weeks less than）.All patients were treated by look forward to prolong gestational weeks,according to the illness and fetal selection pattern of terminating pregnancy（cesarean section,vaginal delivery and amniotic cavity induced）,comparing the three groups of the prolongation of gestation time,neonatal asphyxia,perinatal mortality and cesarean section rate.Results： The three groups average expectant treatment time had no significant difference（P＆gt; 0.05）;three groups of neonatal asphyxia rate,perinatal mortality significantly with gestational age,decreased（P＆lt;0.05）;cesarean section rate increased with gestational weeks,three groups are significantly different（P＆lt;0.05）.Conclusion： Early onset severe pre-eclampsia pregnancy outcomes in pregnant women with the onset of gestational week close relations,occur earlier outcome worse,through appropriate expectant treatment and prolongation of gestation to improve maternal and fetal outcomes have a better effect,cesarean section significantly reduce maternal and fetal complications.