早发型重度子痫前期36例临床分析

• 作 者: 罗春珍 彭小莲
• 机 构: 福建省泉州市洛江区马甲医院妇产科,福建省晋江市医院妇产科,
• 出 处: 中国妇幼保健
• 发表日期: 2009年35期
• 关键词: 早发型重度子痫前期 并发症 新生儿窒息 围产儿死亡

目的:探讨早发型重度子痫前期对围产期母婴预后的影响及保守治疗的适宜时间。方法:对福建省泉州市洛江区马甲医院2002年1月～2008年1月收治的接受保守治疗的36例早发型重度子痫前期患者资料进行回顾性分析。根据其发病孕周分为A组(孕周<28周)、B组(28孕周≤孕周<32孕周),C组(32孕周≤孕周<34孕周)。观察3组患者发病情况、病情特点及母婴并发症、期待治疗时间。结果:3组患者并发症发生率比较差异无统计学意义(P>0.05);3组新生儿窒息率和围产儿死亡率均随孕周延长而下降,且3组间比较差异均有统计学意义(P<0.05);B组期待治疗时间均明显长于其他两组(P<0.05)。结论:早发型重度子痫前期有较高的母婴病死率,是重度子痫前期的一种特殊类型,在期待治疗过程中,应严密监护母婴情况,适时终止妊娠,终止妊娠方式首选剖宫产。

Objective: To investigate the effect of early-onset severe preeclampsia on the prognosis of perinatal maternal and infant and the appropriate time of conservative treatment. Methods: The data of 36 patients with early-onset severe preeclampsia admitted conservatively from January 2002 to January 2008 in Ma Jia Hospital, Luojiang District, Quanzhou City, Fujian Province were retrospectively analyzed. According to their gestational age, they were divided into group A (gestational age <28 weeks), group B (gestational weeks ≤ 28 gestational weeks), group C (weeks 32 gestational weeks ≤ gestational weeks <34 weeks). Observe the incidence of 3 groups of patients, the characteristics of the disease and maternal and child complications, looking forward to treatment time. Results: There was no significant difference in the complication rates between the three groups (P> 0.05). The rates of neonatal asphyxia and perinatal mortality in three groups decreased with gestational weeks prolongation, and the differences among the three groups were statistically significant (P <0.05). The expected duration of treatment in group B was significantly longer than that in the other two groups (P <0.05). Conclusion: Premature onset severe preeclampsia has a high maternal and infant mortality rate, which is a special type of severe preeclampsia. In the process of expectant treatment, maternal and infant conditions should be closely monitored, and pregnancy and termination of pregnancy preferred Palace product.