CAJ | 학술논문

目的探讨不同发病孕周早发型重度子痫前期(EOSP)对母婴结局的影响。方法62例EOSP患者,孕20~34w,其中孕20~28w12例(A组),孕28~32w25例(B组),孕32~34w25例(C组)。比较各组母婴结局。结果早发型重度子痫前期发病孕周越早,患者胎盘早剥、子痫、死胎发生率越高,母婴结局不良的几率越高。三组间差异有统计学意义,<0.05。结论孕28w后发病的早发型重度子痫前期母婴结局较好,期待治疗可以适当延长孕周,选择适宜的终止妊娠时机和方式是减少母婴并发症的有力措施。
목적탐토불동발병잉주조발형중도자간전기(EOSP)대모영결국적영향。방법62례EOSP환자,잉20~34w,기중잉20~28w12례(A조),잉28~32w25례(B조),잉32~34w25례(C조)。비교각조모영결국。결과조발형중도자간전기발병잉주월조,환자태반조박、자간、사태발생솔월고,모영결국불량적궤솔월고。삼조간차이유통계학의의,<0.05。결론잉28w후발병적조발형중도자간전기모영결국교호,기대치료가이괄당연장잉주,선택괄의적종지임신시궤화방식시감소모영병발증적유력조시。
Objective To investigate the af ection to the mother and neonate of early onset severe pre-eclampsia at dif erent gestational weeks.Methods 62 patients diagnosed as EOSP with the gestational weeks of 20~34 were involved in the study and divided into groups.Group A 12 patinets with the gestational week of 20~28,Group B 25 patinets with the gestational week of 28~32 and Group C 25 patinets with the gestational week of 32~34.We compared the maternal and neonatal outcome among the three groups.Results The shorter the gestational weeks of EOSP was,the higher the rate of placental abruption and fetal death was,there was significant dif erence among the outcome of the three groups( <0.05).Conclusion The prognosis of early onset of severe preeclampsia patients whose gestational weeks were more than 28 weeks were bet er.Expectant treatment can prolong the gestational week of early onset of severe pre-eclampsia patients and and it's very important to master the time and way for pregnancy termination.