重度子痫前期孕妇终止妊娠时机选择对新生儿结局的影响

The Effect of Neonatal Outcome of Pregnancy-termination-timing with Severe Preeclampsia

目的探讨重度子痫前期孕妇终止妊娠不同时机选择对新生儿结局的影响。方法回顾性分析2011年6月至2016年6月我院108例重度子痫前期孕妇及其新生儿121例临床资料。按照分娩孕周以孕32周为界,将孕妇分为两组,新生儿分组按照分娩孕周将新生儿分为5组。结果两组孕妇比较,其新生儿发生轻度窒息及重度窒息,新生儿病死率差异均有统计学意义(P<0.01)。分娩孕周的增加,新生儿的病死率呈下降趋势。结论重度子痫前期孕妇应合理治疗,适时终止妊娠,孕32周以前分娩与孕32周以后分娩,新生儿结局明显不同。

Objective To explore the effect of different pregnancy-termination-timing on neonatal outcome with severe preeclampsia.Methods The clinical data of 108 cases of severe preeclampsia and 121 cases of newborns in our hospital from June 2011 to June 2016 were retrospectively analyzed.According to the gestational age of 32 weeks of gestation,pregnant women were divided into two groups.Newborns were divided into five groups according to gestational weeks.Results The neonatal mortality rate were statistically significant（P〈0.01）between neonatal slight and severe asphyxia.The mortality rate of newborns showed a downward trend with gestational age increased.Conclusion Pregnant women with severe preeclampsia should be treated rationally,and timely termination of pregnancy.Neonatal outcomes were significantly different between pregnancy 32 weeks before delivery and 32 weeks after delivery.