中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
10期
49-50
,共2页
早发型重度子痫前期%妊娠结局%并发症
早髮型重度子癇前期%妊娠結跼%併髮癥
조발형중도자간전기%임신결국%병발증
Early onset severe preeclampsia%Outcome of pregnancy%Complications
目的：探讨早发型重度子痫前期对妊娠结局的影响。方法：收治重度子痫前期患者207例，以发病孕周34周为界限，分为早发型重度子痫前期组78例(早发型组)及晚发型重度子痫前期组129例(晚发型组)。比较两组的一般情况、并发症分娩方式及围生儿结局等指标。结果：早发型重度子痫前期发病孕周越早，患者并发症的发生率越高(P＞0.05)，新生儿死亡率和围生儿死亡率随着发病孕周的延长及治疗时间的延长而显著降低(P＜0.05)。结论：早发型重度子痫前期孕妇病情严重，围生儿愈后不佳，且发病越早，围生儿愈后越差。严格选择病例行短期的期待治疗是安全有效的。
目的：探討早髮型重度子癇前期對妊娠結跼的影響。方法：收治重度子癇前期患者207例，以髮病孕週34週為界限，分為早髮型重度子癇前期組78例(早髮型組)及晚髮型重度子癇前期組129例(晚髮型組)。比較兩組的一般情況、併髮癥分娩方式及圍生兒結跼等指標。結果：早髮型重度子癇前期髮病孕週越早，患者併髮癥的髮生率越高(P＞0.05)，新生兒死亡率和圍生兒死亡率隨著髮病孕週的延長及治療時間的延長而顯著降低(P＜0.05)。結論：早髮型重度子癇前期孕婦病情嚴重，圍生兒愈後不佳，且髮病越早，圍生兒愈後越差。嚴格選擇病例行短期的期待治療是安全有效的。
목적：탐토조발형중도자간전기대임신결국적영향。방법：수치중도자간전기환자207례，이발병잉주34주위계한，분위조발형중도자간전기조78례(조발형조)급만발형중도자간전기조129례(만발형조)。비교량조적일반정황、병발증분면방식급위생인결국등지표。결과：조발형중도자간전기발병잉주월조，환자병발증적발생솔월고(P＞0.05)，신생인사망솔화위생인사망솔수착발병잉주적연장급치료시간적연장이현저강저(P＜0.05)。결론：조발형중도자간전기잉부병정엄중，위생인유후불가，차발병월조，위생인유후월차。엄격선택병례행단기적기대치료시안전유효적。
Objective:To investigate the influence of early onset of severe preeclampsia on pregnancy outcome.Methods:207 patients with severe preeclampsia were selected.We divided the patients into the early onset of severe preeclampsia group with 78 cases(the early onset group) and late onset severe preeclampsia group with 129 cases(the late onset group) according to the incidence of gestational age of 34 weeks for boundaries.We compared the demographic features,pregnancy complications,delivery mode and perinatal outcomes between two groups.Results:The smaller the gestational weeks in early onset severe preeclampsia, the higher the maternal complication rates(P>0.05).The perinatal and neonatal mortality rates declined following along with the prolongation of onset week and time of treatment(P<0.05).Conclusions:The early onset of severe preeclampsia patients in serious condition.The earlier the onset takes place,the worse the prognosis will be.It is crucial to strictly screen out proper cases for short period of expectant therapy before termination of gestation.
