维吾尔族子痫发生率及预后分析

Analysis of incidence and prognosis of eclampsia of the Uygurs

目的:探讨产妇子痫发生率及其母婴预后与产科处理间的关系。方法 :对分娩的 5 0 31例产妇中子痫发生率及母婴预后进行回顾性分析。结果:(1)汉、维族产妇子痫发生率分别为 4 .2‰和 13.5‰ ;(2 )终止妊娠的时机 ,选择于子痫发生后 2 4 h以内者较 2 4 h以后者良好 ,围产儿窒息率分别为 30 .0 %、77.8% ,围产儿病死率分别为11.8%、6 6 .7% (P均 <0 .0 1) ;(3)不同分娩方式对母婴预后无明显影响。剖宫产组与阴道产组比较 ,产后出血量、产 (术 )后病死率和新生儿结局差异均无统计学意义 (P >0 .0 5 )。 结论:(1)子痫发生率维族高于汉族 ;(2 )终止妊娠的时机直接影响围产儿预后 ;(3)

Objective: To investigate the incidence and prognosis of eclampsia in pregnant women the Hans and the Uygurs. Methods: Retrospective analysis of 5031 deliveries of pregnant women the Hans and the Uygurs. Results: (1) The incidences of eclampsia in the Hans and in the Uygurs were 4.2‰ and 13.5‰ respectively with significant difference (P<0.05). (2) Termination of pregnancy: intra 24h after eclampsia was better than extra 24h. The incidence of stifled fetus in the former was 30% while the latter was 77.8%. The fatalities of neonate were 11.8% and 66.7% respectively. (3) There was no significant difference in groups of vaginal labor and abdominal delivery about postpartum hemorrhage and fever and the prognosis of neonate (P>0.05). Conclusions: (1) The incidence of eclampsia of the Hans is significant higher than that of the Uygurs. (2) The time of termination of pregnancy is a direct factor for prognosis of neonate. (3) There is no obvious relation between the prognosis of eclampsia and the methods of delivery .