高龄并发重度子痫前期对母儿健康的影响

Effect of elderly patients with severe preeclampsia on maternal and child health

目的:探讨高龄并发重度子痫前期对母儿健康的影响。方法:选择2015年1月—2018年1月收治的经剖宫产分娩的重度子痫前期单胎妊娠、年龄≥35岁的孕妇65例为观察组,同期经剖宫产分娩的重度子痫前期单胎妊娠、年龄<35岁的孕妇65例为对照组,比较两组患者产后24 h出血量、平均住院时间及新生儿出生情况。结果:观察组术中出血量、术后24 h出血量、住院时间明显高于对照组,两组比较,差异有统计学意义(P <0. 05);观察组新生儿平均出生体质量明显低于对照组,两组比较,差异有统计学意义(P <0. 05);观察组新生儿窒息率明显高于对照组,两组比较,差异有统计学意义(P <0. 05)。结论:高龄并发重度子痫前期的患者病情复杂且严重,产后恢复时间长,对母儿健康影响较大。应做好高龄孕妇的产前评估,加强其孕期监护与保健,制定个性化治疗方案,以减轻对孕产妇及围生儿的不良影响。

Objective：To study the elderly concomitant severe preeclampsia on the impact of maternal and child health.Methods：Sixty-five pregnant women aged 35 years with severe pre-eclampsia who were delivered by cesarean section from January 2015 to January 2018 were selected as observation group.In the same period,65 pregnant women with severe pre-eclampsia single-pregnancy age〈35 years of age who gave birth by cesarean section were the control group.The bleeding volume,average hospital stay,and neonatal birth were compared between the two groups.Results：The amount of intraoperative blood loss,24 h postoperative bleeding,and hospitalization time in the observation group were significantly higher than those in the control group.The difference between the two groups was statistically significant （ P 〈0.05）.The average birth weight of the newborns in the observation group was significantly lower than that of the control group.The difference between the two groups was statistically significant （ P 〈0.05）.The neonatal asphyxia rate in the observation group was significantly higher than that in the control group.The difference between the two groups was statistically significant （ P 〈0.05）.Conclusion：The condition of advanced pre-eclampsia is complicated and serious,and the recovery time after delivery is long,which has a great impact on the health of mother and child.Prenatal evaluation of pregnant women should be done to strengthen their monitoring and health care during pregnancy,and to develop personalized treatment plans to reduce the adverse effects on pregnant women and perinatal children.