国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
4期
489-491
,共3页
早发型重度子痫前期%期待治疗%妊娠结局
早髮型重度子癇前期%期待治療%妊娠結跼
조발형중도자간전기%기대치료%임신결국
Early-onset severe preeclampsia%Expectant management%Gestational outcomes
目的 探讨期待治疗在早发型重度子痫前期中的应用效果及其对妊娠结局的影响.方法 选取2005年至2011年我院收治的126例早发型重度子痫前期患者,按孕周不同分为A组(＜ 28周)40例、B组(28～31周)45例和C组(32 ～34周)41例,分别给予期待治疗,比较三组患者治疗情况、并发症及围生儿并发症发生率.结果 A组期待治疗天数及终止妊娠时间均短于B、C组,围生儿并发症率高于B、C组,差异有显著性(P＜0.05)；A组孕产妇并发症率高于B、C组,但三组差异无显著性(P＞0.05).结论 早发型重度子痫前期能对母婴造成严重危害,患者孕周越短母婴预后越差,而综合各种因素后给予一定时间的期待治疗延长孕周并在合适时间终止妊娠,可改善母婴预后.
目的 探討期待治療在早髮型重度子癇前期中的應用效果及其對妊娠結跼的影響.方法 選取2005年至2011年我院收治的126例早髮型重度子癇前期患者,按孕週不同分為A組(＜ 28週)40例、B組(28～31週)45例和C組(32 ～34週)41例,分彆給予期待治療,比較三組患者治療情況、併髮癥及圍生兒併髮癥髮生率.結果 A組期待治療天數及終止妊娠時間均短于B、C組,圍生兒併髮癥率高于B、C組,差異有顯著性(P＜0.05)；A組孕產婦併髮癥率高于B、C組,但三組差異無顯著性(P＞0.05).結論 早髮型重度子癇前期能對母嬰造成嚴重危害,患者孕週越短母嬰預後越差,而綜閤各種因素後給予一定時間的期待治療延長孕週併在閤適時間終止妊娠,可改善母嬰預後.
목적 탐토기대치료재조발형중도자간전기중적응용효과급기대임신결국적영향.방법 선취2005년지2011년아원수치적126례조발형중도자간전기환자,안잉주불동분위A조(＜ 28주)40례、B조(28～31주)45례화C조(32 ～34주)41례,분별급여기대치료,비교삼조환자치료정황、병발증급위생인병발증발생솔.결과 A조기대치료천수급종지임신시간균단우B、C조,위생인병발증솔고우B、C조,차이유현저성(P＜0.05)；A조잉산부병발증솔고우B、C조,단삼조차이무현저성(P＞0.05).결론 조발형중도자간전기능대모영조성엄중위해,환자잉주월단모영예후월차,이종합각충인소후급여일정시간적기대치료연장잉주병재합괄시간종지임신,가개선모영예후.
Objective To explore the curative effect and influence of expectant management on early-onset severe preeclampsia.Methods According to gestational age,126 cases of early-onset severe preeclampsia from 2009 to 2011 were divided into group A (＜28 weeks),group B (28～31 weeks) and group C (32～34 weeks).Each group was given an expectant management then analyzed the outcomes of the patients as well as the maternal and perinatal complications.Results Expectant number of treatment days and termination of pregnancy in group A were lower than those of group B and C while the incidence of maternal and perinatal infants complications was higher (P＜0.05).Conclusion The early onset of severe preeclampsia on maternal and child health leads to serious harm,the shorter the gestational age is,the worse the prognosis becomes.Giving expectant treatment can extend the gestational age to a degree,thus improve the prognosis.
