中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
26期
65-66
,共2页
早发型%重度子痫前期%预测%临床诊治
早髮型%重度子癇前期%預測%臨床診治
조발형%중도자간전기%예측%림상진치
Early onset%Severe preeclampsia%Prediction%Diagnosis and treatment
目的：分析早发型重度子痫前期的临床预测方法，并探讨其临床治疗模式。方法：收治早发型重度子痫前期产妇40例作为观察组，同时随机挑选40例健康产妇作为对照组，比较两组产妇的各项临床指标，分析观察组产妇治疗结局。结果：观察组产妇在血压、24 h尿蛋白、红细胞计数、白细胞、产前体重指数(BMI)方面均显著高于对照组，组间差异有统计学意义，P＜0.05；在血小板方面，观察组产妇显著低于对照组，P＜0.05。观察组均行剖宫产分娩，未出现死亡病例。本组患者中，出现贫血8例，HELLP综合征4例，肾功能损害3例。结论：产妇出现体重指数升高、高血压、红(白)细胞水平升高、24 h尿蛋白升高等检测指标变化时，提示产妇易发生早发型重度子痫前期，应及时给予对应治疗，改善其预后。
目的：分析早髮型重度子癇前期的臨床預測方法，併探討其臨床治療模式。方法：收治早髮型重度子癇前期產婦40例作為觀察組，同時隨機挑選40例健康產婦作為對照組，比較兩組產婦的各項臨床指標，分析觀察組產婦治療結跼。結果：觀察組產婦在血壓、24 h尿蛋白、紅細胞計數、白細胞、產前體重指數(BMI)方麵均顯著高于對照組，組間差異有統計學意義，P＜0.05；在血小闆方麵，觀察組產婦顯著低于對照組，P＜0.05。觀察組均行剖宮產分娩，未齣現死亡病例。本組患者中，齣現貧血8例，HELLP綜閤徵4例，腎功能損害3例。結論：產婦齣現體重指數升高、高血壓、紅(白)細胞水平升高、24 h尿蛋白升高等檢測指標變化時，提示產婦易髮生早髮型重度子癇前期，應及時給予對應治療，改善其預後。
목적：분석조발형중도자간전기적림상예측방법，병탐토기림상치료모식。방법：수치조발형중도자간전기산부40례작위관찰조，동시수궤도선40례건강산부작위대조조，비교량조산부적각항림상지표，분석관찰조산부치료결국。결과：관찰조산부재혈압、24 h뇨단백、홍세포계수、백세포、산전체중지수(BMI)방면균현저고우대조조，조간차이유통계학의의，P＜0.05；재혈소판방면，관찰조산부현저저우대조조，P＜0.05。관찰조균행부궁산분면，미출현사망병례。본조환자중，출현빈혈8례，HELLP종합정4례，신공능손해3례。결론：산부출현체중지수승고、고혈압、홍(백)세포수평승고、24 h뇨단백승고등검측지표변화시，제시산부역발생조발형중도자간전기，응급시급여대응치료，개선기예후。
Objective:To analyze the clinical prediction method of early onset severe preeclampsia,and to explore its clinical treatment mode.Methods:40 patients with early onset of severe preeclampsia were selected as the observation group,at the same time,randomly selected 40 healthy pregnant women as the control group.The clinical indicators were compared between the two groups.We analyzed the maternal treatment outcomes of the observed group.Results:The blood pressure,24 h urinary protein, platelet,red blood cell count,white blood cell,prenatal BMI aspects of women in the observation group were significantly higher than those in the control group,there were significant differences between the groups,P<0.05. In terms of platelet,the observation group were significantly lower than the control group,P<0.05.Patients in the observation group underwent cesarean delivery,no deaths.Of Patients in this group,8 cases of anemia,4 cases of HELLP syndrome,3 cases of renal damage.Conclusion:When body mass index increased,hypertension,elevated red(white)cellular level,24 h urinary protein levels and other indicators of change detection happen to pregnant women,suggesting that maternal prone to early onset of severe preeclampsia,we should promptly give the corresponding treatment and improve the prognosis.
