围生期保健与子痫围生儿结局的关系探讨

Study of relationship between prerinatal health care and outcome of perinatal infant of eclampsia.

目的 探讨围生期保健与子痫围生儿结局的关系。方法 根据子痫产妇和正常产妇各 6 0例的围生期保健卡及住院病历 ,回顾性的分析早孕建卡 ,产前检查 ,围生儿结局情况。结果 子痫组的早孕建卡率 ,产前检查次数明显少于正常组 ,差异有显著性 (P <0 .0 1)。子痫组中农村占 71.7% (4 3/6 0 ) ,城市为 2 8.3% (17/6 0 ) ,农村的早孕建卡率和产前检查次数低于城市 ,有显著性差异 (P <0 .0 1)。子痫围生儿中发生胎儿宫内发育迟缓 (IUGR) ,新生儿窒息以及围生儿死亡率明显高于正常组 ,均有高度显著性差异 (P <0 .0 5 )。结论 加强围生期保健 ,防治子痫发生 ,是改善围生儿预后的关键。

Objective: To study the relationship between prerinatal health care and outcome of perinatal infant of eclampsia. Methods: A retrospective study was performed to analyze the establishing-card rate of early pregnancy, prenatal examination and the outcome of perinatal infants of eclampsia by comparing the perinatal health care cards and medical records during hospitalization of 60 puerpera with eclampsia and 60 normal puerpera. Results Establishing-card rates and times of prenatal examination in eclampsia group were significantly less than those in normal group (P<0.01). In eclampsia group, 71.7% were from countries, while 28.3% from cities. Establishing-card rates and times of prenatal examination in puerpera from countries were significantly less than in those from cities(P<0.01). There were more IUGRs, asphyxia of newborns and perinatal death in puerpera group than in normal group (P<0.05). Conclusion: Enhancing perinatal health care and preventing eclampsia are keys to promote the prognosis of perinatal infant of eclampsia.