天津医药
天津醫藥
천진의약
TIANJIN MEDICAL JOURNAL
2010年
4期
262-265
,共4页
先兆子(癎)%妊娠并发症%窒息,新生儿%婴儿死亡率
先兆子(癎)%妊娠併髮癥%窒息,新生兒%嬰兒死亡率
선조자(간)%임신병발증%질식,신생인%영인사망솔
pre-eclampsia%pregnancy complications%asphyxia neonatorum%infant mortality
目的:探讨早发型重度子(癎)前期对妊娠结局的影响并探寻最佳的治疗方案,以减少并发症、改善围产结局.方法:回顾分析天津医科大学第二医院2007年1月-2008年12月收治的139例重度子(癎)前期患者(其中早发型重度子(癎)前期患者53例,晚发型重度子(癎)前期患者86例)及其围产儿139例的临床资料.分析指标包括一般情况、并发症及母婴结局.结果:早发型重度子(癎)前期患者分娩孕周较晚发型早(P＜0.05),治疗时间较晚发型长(P＜0.05).其临床并发症(胎死宫内、胎窘、胎盘早剥、子(癎)等)较晚发型严重(P＜0.05),新生儿窒息率和围产儿病死率较晚发型患儿高(P＜0.05).结论:早发型重度子(癎)前期发病早、病情重,严重影响母婴预后,应根据母儿情况,严格选择病例进行保守治疗,同时密切监测母儿病情变化.
目的:探討早髮型重度子(癎)前期對妊娠結跼的影響併探尋最佳的治療方案,以減少併髮癥、改善圍產結跼.方法:迴顧分析天津醫科大學第二醫院2007年1月-2008年12月收治的139例重度子(癎)前期患者(其中早髮型重度子(癎)前期患者53例,晚髮型重度子(癎)前期患者86例)及其圍產兒139例的臨床資料.分析指標包括一般情況、併髮癥及母嬰結跼.結果:早髮型重度子(癎)前期患者分娩孕週較晚髮型早(P＜0.05),治療時間較晚髮型長(P＜0.05).其臨床併髮癥(胎死宮內、胎窘、胎盤早剝、子(癎)等)較晚髮型嚴重(P＜0.05),新生兒窒息率和圍產兒病死率較晚髮型患兒高(P＜0.05).結論:早髮型重度子(癎)前期髮病早、病情重,嚴重影響母嬰預後,應根據母兒情況,嚴格選擇病例進行保守治療,同時密切鑑測母兒病情變化.
목적:탐토조발형중도자(간)전기대임신결국적영향병탐심최가적치료방안,이감소병발증、개선위산결국.방법:회고분석천진의과대학제이의원2007년1월-2008년12월수치적139례중도자(간)전기환자(기중조발형중도자(간)전기환자53례,만발형중도자(간)전기환자86례)급기위산인139례적림상자료.분석지표포괄일반정황、병발증급모영결국.결과:조발형중도자(간)전기환자분면잉주교만발형조(P＜0.05),치료시간교만발형장(P＜0.05).기림상병발증(태사궁내、태군、태반조박、자(간)등)교만발형엄중(P＜0.05),신생인질식솔화위산인병사솔교만발형환인고(P＜0.05).결론:조발형중도자(간)전기발병조、병정중,엄중영향모영예후,응근거모인정황,엄격선택병례진행보수치료,동시밀절감측모인병정변화.
Objective:To investigate the effect of early onset severe preeclampsia on pregnancy outcome and to explore the appropriate clinical management in order to impmve the perinatal outcomes.Methods:One hundred and thirty-nine mothers with severe preeclampsia and their 138 neonates who were cured in The Second Hospital of Tianjin Medical University from January 2007 to December 2008 were retrospectively analyzed.There were 53 early-onset and 86 late-onset severe preeclampsia in 139 severe preeclampsia patients.The general condition of the mothers,complications and outcomes of both mothers and infants were surveyed.Results:The time of gestation termination was earlier in the cases of early onset severe preeclampsia than that of late-onset severe preeclampsia(P＜0.05).In addition.the time period of treatment was also longer in early onset severe preeclampsia than that of late-onset severe preeclampsia(P＜0.05).The early onset severe preeclampsia Was more severe in patients with complications(dead fetus in uterus,fetal distress in uterus,placental abruption and eclampsia)than that of late-onset patients with severe preeelampsia(P＜0.05).Early-onset neonatal asphyxia and perinatal cage-fatality rate was significantly higher in patients with early-onset than that in patients with late-onset.Conclusion:Compared with the late onset severe preeclampsia,the state of the early-onset severe was more severe,whichwould do more hazard to the maternal,fetus and neonatal.Obstetricians should select cases carefully for expectant treatment.Therefore a close monitoring of those mothers and infants is very important.
