早发型重度子痫前期病例分析

Analysis on Early-onset Preeclampsia Severe Cases

目的探讨早发型重度子痫前期的相关治疗以及母儿结局。方法选取2013年2月~2015年11月在我院住院并进行分娩的子痫前期重度患者共148例。年龄为20~42岁,孕周为24~38周,其中早发型子痫前期患者有39例,晚发型子痫前期患者有109例。早发型子痫前期患者作为早发组,晚发型子痫前期患者作为晚发组。结果晚发组期待治疗的时间长于早发组（P〈0.05）,新生儿窒息发生率与围产儿死亡率差异具有统计学意义（P〈0.05）,两组患者并发症发生率差异无统计学意义（P〉0.05）。结论两组孕妇发生并发症的概率随着孕周的延长而呈现下降趋势,早发型子痫前期重度的母儿结局和孕周有着直接关系。而孕周延长到34周左右,能够看出新生儿窒息率以及死亡率都明显降低,差异具有统计学意义（P〈0.01）。同时进行早发型子痫前期重度的期待治疗也需要对母儿有严格的检测,从而更好地把握治疗时间。通过利用多普勒超声检测胎儿脐动脉血流,能够清晰反映出胎儿-胎盘的循环状况。也是辅助诊断早发型子痫前期重度时胎儿缺氧、窘迫以及缺血情况的一个简单有效的方法。

Objective To explore early-onset preeclampsia severe related treatment for mother and child. Methods Selected a total of 148 patients with severely preeclampsia from February 2013 to November 2015 hospitalized in our hospital. Aged 20~42 years, gestational age at 24~38 weeks, among them, 39 patients with early-onset preeclampsia, 109 patients with late onset preeclampsia. Took early-onset preeclampsia patients as early onset group, late-onset preeclampsia patients as late onset group. Results Expect treatment time was longer in late onset group than early onset group（P〈0.05）, the incidence of neonatal asphyxia and perinatal mortality had significant differences（P〈0.05）, two groups of patients with complications the difference wasn＇t statistically significant（P〈0.05）. Conclusion The probability of two groups of pregnant complications followed gestational age showed a trend of decline, with the extension of early-onset preeclampsia severe mother child ending and gestational age had a direct relationship. And extended to 34 weeks pregnant women pregnant weeks or so, to be able to see the neonatal asphyxia rate and mortality were significantly reduced, there was statistically significant differences（P〈0.01）. Simultaneously early-onset preeclampsia heavy expectations of treatment also need to have a strict examination on mother＇s child, to better grasp the treatment time. By using doppler ultrasound detection of fetal umbilical artery blood flow, can clearly reflect the fetus-placental circulation situation. Also auxiliary diagnosis of early-onset preeclampsia severe fetal hypoxia, bind and ischemia by a simple effective method.