中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY
2014年
2期
44-46
,共3页
早发型重度子痫前期%期待治疗%并发症%新生儿窒息%围生儿死亡
早髮型重度子癇前期%期待治療%併髮癥%新生兒窒息%圍生兒死亡
조발형중도자간전기%기대치료%병발증%신생인질식%위생인사망
early onset severe preeclampsia%expectant treatment%complication%neonatal asphyxia%perinatal mortality
目的:探讨早发型重度子痫前期治疗、终止妊娠时机与母儿的结局。方法回顾性分析64例不同孕周早发型重度子痫前期患者的临床资料。根据其发病孕周分成3组,即A组(孕周<28周)10例、B组(28周≤孕周<32周)30例、C组(32周≤孕周<34周)24例。结果 A、B、C 3组孕产妇并发症发生率分别为70.0%,66.7%,20.8%,3组孕产妇并发症发生率比较,差异有统计学意义( P<0.05);保守治疗时间B组明显长于其他两组( P<0.05);B、C两组分娩方式以剖宫产为主。结论早发型重度子痫前期病情重,并发症发生率高,围生儿预后差,在期待治疗过程中应严密监护母体胎儿情况,适当延长孕周,适时终止妊娠,提高新生儿存活率。
目的:探討早髮型重度子癇前期治療、終止妊娠時機與母兒的結跼。方法迴顧性分析64例不同孕週早髮型重度子癇前期患者的臨床資料。根據其髮病孕週分成3組,即A組(孕週<28週)10例、B組(28週≤孕週<32週)30例、C組(32週≤孕週<34週)24例。結果 A、B、C 3組孕產婦併髮癥髮生率分彆為70.0%,66.7%,20.8%,3組孕產婦併髮癥髮生率比較,差異有統計學意義( P<0.05);保守治療時間B組明顯長于其他兩組( P<0.05);B、C兩組分娩方式以剖宮產為主。結論早髮型重度子癇前期病情重,併髮癥髮生率高,圍生兒預後差,在期待治療過程中應嚴密鑑護母體胎兒情況,適噹延長孕週,適時終止妊娠,提高新生兒存活率。
목적:탐토조발형중도자간전기치료、종지임신시궤여모인적결국。방법회고성분석64례불동잉주조발형중도자간전기환자적림상자료。근거기발병잉주분성3조,즉A조(잉주<28주)10례、B조(28주≤잉주<32주)30례、C조(32주≤잉주<34주)24례。결과 A、B、C 3조잉산부병발증발생솔분별위70.0%,66.7%,20.8%,3조잉산부병발증발생솔비교,차이유통계학의의( P<0.05);보수치료시간B조명현장우기타량조( P<0.05);B、C량조분면방식이부궁산위주。결론조발형중도자간전기병정중,병발증발생솔고,위생인예후차,재기대치료과정중응엄밀감호모체태인정황,괄당연장잉주,괄시종지임신,제고신생인존활솔。
Objective To investigate the treatment on terminating time and the maternal and prinatal outcome of early onset severe preeclampsia . Methods A retrospective analysis in 64 cases with early onset severe preeclampsia in different gestational ages .According to gestational ages , the cases were divided into three groups:group A(<28 weeks) with 10 cases, group B (28~32 weeks) with 30 cases and group C(32~34 weeks) with 24 cases.Results The complication incidence of pregnant women in groups A , B, C were 70%, 66.7%, 20.8%respectively;with the comparison of complication intidence of maternal women , the difference between 3 groups was statistically significant (P<0.05), conservative treatment time in group B was significantly longer than those in two groups(P<0.05);delivery mode in groups B, C were cesarean section mainly.Conclusion The cases with severe conditions on the early onset severe preeclampsia , and have high incidence of complications and poor perinatal outcomes, in the courses of expectant treatment , the situations of mothers and fetuses should be monitored closely , and the gestational age should be appropriately extended , the pregnancy should be term imitated at appropriate time to improve neonatal survival rate .