早发型重度子痫前期的期待治疗效果

Efficacy of expectant management in early onset severe preeclampsia

目的：探讨早发型重度子痫前期期待治疗的效果。方法选取2012年1月至2014年1月早发型重度子痫前期孕妇62例，根据发病孕周分为三组，24~28周12例为 A 组，28~32周24例为 B 组，32~34周26例为 C 组，比较三组治疗效果。结果保守治疗时间 A 组为（26±15）d，B 组为（16±14）d，C 组为（12±7）d，A 组保守治疗时间长于另外两组，差异有统计学意义（P ﹤0.05）。三组患者均多以剖宫产终止妊娠。结论母婴相对安全下适时终止妊娠是治疗子痫前期的关键，严密监测下延长孕周至34周行剖宫产终止妊娠可提高围生儿的存活率。

Objective To investigate the efficacy of expectant management in early onset severe preeclampsia. Methods From January 2012 to January 2014,62 cases of pregnant women with early onset severe preeclampsia were selected,and were divided into three groups according to gestational age, 12 cases of 24 - 28 weeks as group A,24 cases of 24 - 28 weeks as group B,26 cases of 28 - 32 weeks as group C. The effects in the three groups was compared. Results The average pregnancy prolongation in group A,B,C was（25 ± 15）,（16 ± 14）,（12 ± 7）days,and which in group A was longer than the other two groups,the differences was significant（P ﹤ 0. 05）. The patients of the three groups were most by cesarean section to terminate the pregnancy. Conclusions Timely termination of pregnancy under the maternal and child safe is the key to treatment of preeclampsia,closely monitoring the prolong pregnancy termination of gestation weeks to 34 go cesarean delivery,can improve the perinatal survival rate.