早发型重度子痫前期的预测和诊治探讨

Discussion on the prediction and diagnosis value of early onset severe preeclampsia

目的:分析早发型重度子痫前期的临床预测方法,并探讨其临床治疗模式。方法:收治早发型重度子痫前期产妇40例作为观察组,同时随机挑选40例健康产妇作为对照组,比较两组产妇的各项临床指标,分析观察组产妇治疗结局。结果:观察组产妇在血压、24 h尿蛋白、红细胞计数、白细胞、产前体重指数(BMI)方面均显著高于对照组,组间差异有统计学意义,P<0.05;在血小板方面,观察组产妇显著低于对照组,P<0.05。观察组均行剖宫产分娩,未出现死亡病例。本组患者中,出现贫血8例,HELLP综合征4例,肾功能损害3例。结论:产妇出现体重指数升高、高血压、红(白)细胞水平升高、24 h尿蛋白升高等检测指标变化时,提示产妇易发生早发型重度子痫前期,应及时给予对应治疗,改善其预后。

Objective:To analyze the clinical prediction method of early onset severe preeclampsia,and to explore its clinical treatment mode.Methods:40 patients with early onset of severe preeclampsia were selected as the observation group,at the same time,randomly selected 40 healthy pregnant women as the control group.The clinical indicators were compared between the two groups.We analyzed the maternal treatment outcomes of the observed group.Results:The blood pressure,24 h urinary protein,platelet,red blood cell count,white blood cell,prenatal BMI aspects of women in the observation group were significantly higher than those in the control group,there were significant differences between the groups,P<0.05. In terms of platelet,the observation group were significantly lower than the control group,P<0.05.Patients in the observation group underwent cesarean delivery,no deaths.Of Patients in this group,8 cases of anemia,4 cases of HELLP syndrome,3 cases of renal damage.Conclusion:When body mass index increased,hypertension,elevated red(white)cellular level,24 h urinary protein levels and other indicators of change detection happen to pregnant women,suggesting that maternal prone to early onset of severe preeclampsia,we should promptly give the corresponding treatment and improve the prognosis.