早发型重度子痫前期终止妊娠时机及分娩方式与围生儿结局的关系研究

Study on the relationship among the time of termination of pregnancy and the mode of delivery and perinatal outcome in early onset severe preeclampsia

目的:探讨早发型重度子痫前期终止妊娠时机及分娩方式与围生儿结局的关系。方法:收治确诊为早发型重度子痫前期患者186例,按终止妊娠时间平分为A、B、C 3组。另根据宫颈成熟条件及病情程度将其平分为剖宫产组和自然分娩组。观察不同终止妊娠时间及不同分娩方式的围生儿结局。结果:随着妊娠孕周的增加,发生新生儿窒息率及死亡率逐渐下降(P<0.05);剖宫产组围生儿成活率显著高于自然分娩组,组间比较,差异有统计学意义(P<0.05)。结论:对早发型重度子痫前期患者应在保证母婴安全的前提下尽量延长孕周,且合理采用剖宫产,最大限度地提高围生儿成活率。

Objective:To investigate the relationship among the time of termination of pregnancy and the mode of delivery andperinatal outcome in early onset severe preeclampsia.Methods:186 patients who were diagnosed with early onset severepreeclampsia were selected.According to the time of termination of pregnancy,they were divided into the A,B,C three groups.According to the cervical ripening condition and the degree of disease degree,they were divided into the cesarean section groupand the natural childbirth group.We observed the outcome of perinatal infants with different time of pregnancy termination anddifferent delivery methods.Results:With the increase of gestational weeks,the rate of neonatal asphyxia and death rate decreasedgradually(P<0.05).The survival rate of perinatal infants in cesarean section was significantly higher than that in natural deliverygroup,the difference between groups was significant,and the difference was statistically significant(P<0.05).Conclusion:It shouldbe as far as possible to extend the gestational age under the premise of ensuring the safety of mother and child for early onsetsevere preeclampsia patients,and make the reasonable use of cesarean section,to maximize the survival rate of perinatal infants.