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目的:了解重度子痫前期患者终止妊娠时间与其预后的关系,探讨终止妊娠的最佳时机。方法:选择2006～2009年该院收治的重度子痫前期患者(除外其他妊娠合并症及并发症)420例作为研究对象,其中小于34周220例,大于34周200例。并对其产后进行随访,随访至产后3个月。结果:孕34周前终止妊娠者,两组比较,病程<15天,半月内及1月内恢复者,明显多于病程>15天者,P<0.05。3月内恢复者两组无差异,P>0.05。孕34周后终止妊娠者,两组比较,病程<7天,半月内及1月内恢复者,明显多于病程>7天者,P<0.05。3月内恢复者两组无差异,P>0.05。结论:重度子痫前期患者产前病程愈短,其产后恢复愈快,但3月内恢复率无明显差异。小于34孕周患者,随孕周增加,新生儿成活率增加,故小于34孕周患者适当延长孕周是必要的。
Objective: To understand the relationship between termination of pregnancy and prognosis in patients with severe preeclampsia and to explore the best timing of termination of pregnancy. Methods: A total of 420 patients with severe preeclampsia (excluding other pregnancy complications and complications) admitted to the hospital from 2006 to 2009 were selected as the study subjects, of whom 220 were less than 34 weeks and 200 were more than 34 weeks. And follow-up postpartum, follow-up to 3 months after delivery. Results: The pregnancy was terminated 34 weeks before pregnancy, the two groups were compared, the duration of <15 days, within half a month and within 1 month of recovery, significantly more than the duration of> 15 days, P <0.05. , P> 0.05. 34 weeks pregnant after the termination of pregnancy, two groups, the duration of <7 days, within half a month and within 1 month of recovery, significantly more than the duration of> 7 days, P <0 05.3 months recovered no difference between the two groups, P > 0.05. Conclusion: The preeclampathologic course of patients with severe preeclampsia is shorter, the faster the postpartum recovery, but there is no significant difference in recovery rate within 3 months. Patients less than 34 weeks of gestation, with increased gestational age, increased neonatal survival rate, so less than 34 weeks gestational age appropriate gestational age is necessary.