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早发型重度子痫前期不同分娩方式与母儿结局的临床研究 被引量:7

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摘要 目的研究早发型重度子痫前期不同分娩方式与母儿结局的关系。方法 110例早发型重度子痫前期患者,按照不同分娩方式分为A组和B组,各55例。A组患者使用促宫颈成熟双球囊(COOK球囊)促进宫颈成熟进行经阴道分娩引产,B组患者采取选择性剖宫产方式终止妊娠,对比两组患者并发症发生情况以及围生儿结局。结果 A组并发症发生率18.2%与B组的21.8%比较,差异无统计学意义(P>0.05)。两组患者新生儿窒息率、新生儿死亡率比较差异无统计学意义(P>0.05);A组胎死宫内率18.2%明显高于B组的3.6%,产后出血量及新生儿体重明显低于B组,差异有统计学意义(P<0.05)。结论对于早发型重度子痫前期患者终止妊娠时,对患者进行引产后经阴道分娩与剖宫产在并发症发生率方面没有较大差异,但是经阴道分娩后出血量较少,对于早发型重度子痫前期患者采取COOK球囊促宫颈成熟后对患者进行引产,经阴道进行分娩是可行的终止妊娠方式。
出处 《中国实用医药》 2018年第7期76-77,共2页 China Practical Medicine
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