早发型重度子痫前期孕妇期待疗法的结局探讨

Outcome of Expectant Therapy in early Onset Severe Pre eclampsia

目的探讨早发型重度子痫前期孕妇期待治疗的结局。方法选取笔者所在医院2015年1月—2016年12月的孕产妇80例,观察组35例中是孕周在30周以内的孕妇,对照组45例是孕周在30~34周的孕妇,两组孕产妇均采用的是期待疗法对症处理,观察妊娠并发症与结局。结果两组孕产妇脑血管疾病、视网膜脱落、心功能不全、肾功能不全等并发症发生率对比,差异有统计学意义(P<0.05)。两组新生儿均有不良结局发生,两组胎死宫内、新生儿死亡及围产儿死亡发生率对比,差异有统计学意义(P<0.05),两组患者终止妊娠的时间与新生儿体质量对比,差异无统计学意义(P>0.05)。结论对于早发型的重度子痫前期孕妇进行期待治疗临床是可行的,能够效延长终止妊娠的时间。

Objective To investigate the outcome of expectant treatmentin early onset severe preeclampsia.Methods From January 2015 to December 2016,80 cases of pregnant women in the hospital were selected,observation group consisted of 35 pregnant women within 30 weeks of gestation,control group consisted of 45 pregnant women at 30 to 34 weeks of gestation,expectant management was the expectant treatment for the two groups of pregnant women,pregnancy complications and outcomes were observed.Results The two groups were pregnant women with cerebrovascular diseases,retinal detachment,cardiac insufficiency,complications of renal dysfunction were compared,the difference was statistically significant（P〈0.05）.The two groups of newborns had bad outcomes,intrauterine fetal death,neonatal mortality and perinatal mortality were compared,the difference was statistically significant（P〈0.05）,There was no significant difference between the two groups in the time of termination of pregnancy and the body mass of neonates（P〈0.05）.Conclusion For early onset severe preeclampsia,expectant treatment is clinically feasible and can prolong the duration of termination of pregnancy.