CAJ | 학술논문

目的探讨系统性红斑狼疮(SLE)患者合并妊娠对母婴结局的影响.方法 42例SLE合并妊娠的患者随机分成A组(选择性妊娠)30例和B组(随意妊娠)12例,对两组患者的临床资料进行回顾性分析.结果足月分娩A组29例(96.7％),B组1例(8.3％)；SLE病情活动A组8例(26.7％),B组12例(100％)；早产A组0例(0),B组5例(41.7％)；引产A组1例(3.3％),B组4例(33.3％)；另外B组尚有流产1例、死胎1例.新生儿体质量(平均)A组为3081 g,B组2418 g.结论 SLE合并妊娠患者母体及胎儿相关疾病发生率增高,选择合适妊娠时机及积极控制SLE病情是改善母婴结局的关键措施.
목적 탐토계통성홍반랑창(SLE)환자합병임신대모영결국적영향.방법 42례SLE합병임신적환자수궤분성A조(선택성임신)30례화B조(수의임신)12례,대량조환자적림상자료진행회고성분석.결과 족월분면A조29례(96.7％),B조1례(8.3％)；SLE병정활동A조8례(26.7％),B조12례(100％)；조산A조0례(0),B조5례(41.7％)；인산A조1례(3.3％),B조4례(33.3％)；령외B조상유유산1례、사태1례.신생인체질량(평균)A조위3081 g,B조2418 g.결론 SLE합병임신환자모체급태인상관질병발생솔증고,선택합괄임신시궤급적겁공제SLE병정시개선모영결국적관건조시.
Objective To investigate the effect on maternal-infant outcome in pregnancy with systemic lupus erythematosus (SLE).Methods Forty-two cases of SLE patients with pregnancy were retrospectively categorized and analyzed.They were divided into two groups:30 cases in selective pregnancy group (group A) and 12 cases in nonselective pregnancy group (group B).Results Twenty-nine cases (96.7％) in group A and 1 case (8.3％) in group B with term birth; Eight cases (26.7％) in group A and 12 cases (100％) in group B with disease activity; No case (0) in group A and 5 cases (41.7％) in group B with premature delivery; One cases (3.3％) in group A and 4 cases (33.3％) in group B were resulted in odinopoeia.And in group B,1 case resulted in abortion and 1 case resulted in stillbirth.Neonate mean weight were 3081 g in group A and 2418 g in group B.Conclusions The rate of related diseases in SLE patients with pregnancy and fetus increased greatly.Choosing appropriate time and giving acting active control can improve maternal-infant outcome.