CAJ | 학술논문

目的：通过分析子痫前期患者的临床资料,比较母婴妊娠结局。方法回顾性分析我院产科2013年3月~2014年3月237例子痫前期病例的临床资料,将237例子痫前期患者按照孕周不同分为两组,A组(孕周<34周)及B组(孕周≥34周)。比较各组并发症及围产儿结局的发生率。结果不同孕周的子痫前期患者并发症以及围产儿妊娠结局的发生情况均不同。两组患者并发症的发生率分别为64.2%、38.8%；新生儿窒息率分别为13.4%、6.5%；围产儿死亡率分别为37.3%、3.6%。结论早发型子痫前期患者病情严重,围产儿预后不佳,应严格选择病例进行规范化治疗,密切观察母婴情况,有效控制病情发展,适时终止妊娠。
목적：통과분석자간전기환자적림상자료,비교모영임신결국。방법회고성분석아원산과2013년3월~2014년3월237례자간전기병례적림상자료,장237례자간전기환자안조잉주불동분위량조,A조(잉주<34주)급B조(잉주≥34주)。비교각조병발증급위산인결국적발생솔。결과불동잉주적자간전기환자병발증이급위산인임신결국적발생정황균불동。량조환자병발증적발생솔분별위64.2%、38.8%；신생인질식솔분별위13.4%、6.5%；위산인사망솔분별위37.3%、3.6%。결론조발형자간전기환자병정엄중,위산인예후불가,응엄격선택병례진행규범화치료,밀절관찰모영정황,유효공제병정발전,괄시종지임신。
Objective To compare the pregnancy outcome of mother and infant through the analysis of clinical data of patients with preeclampsia. Methods Clinical data of 237 cases with preeclampsia from March 2013 to March 2014 in the department of obstetrics were analyzed retrospectively. 237 patients with preeclampsia were assigned to two groups according to different gestational weeks, group A (gestational weeks <34 weeks) and group B (gestational weeks ≥34 weeks). Complications as well as the incidence of outcome of perinatal fetus were compared between groups. Results Complications of patients with preeclampsia and incidence of the pregnancy outcome of perinatal fetus in different ges-tational weeks were different. Incidence rate of complications in the two groups was 64.2% and 38.8% respectively;neonatal asphyxia rate was 13.4% and 6.5% respectively; mortality rate of perinatal fetus was 37.3% and 3.6%. Con-clusion Patients with early-onset of preeclampsia have severe conditions, and the prognosis of perinatal fetus is unfa-vorable. Cases of disease should be strictly selected and standardized treatment should be carried out. Conditions of mother and infants should be closely monitored, so as to control disease progression effectively and terminate the preg-nancy at appropriate times.