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目的分析并总结重度子痫前期期待疗法对早发型重度子痫终止妊娠时期及围产结局的影响。方法我院自2008年2月至2010年12月期间共收治103例早发型重度子痫孕妇,根据孕周进行分组并对其实施期待疗法。结果三组孕妇延长孕周时间差别较大,B组孕妇的延长孕周时间最长,A组与C组相比延长孕周时间差异无统计学意义(P>0.05);通过比较三组孕妇的并发症显示A组最高(12例),B组与C组并发症之和仅14例,并且B组与C组之间的并发症相比差异无统计学意义(χ2=1.09,P>0.05);三组在新生儿情况方面进行比较,A组预后情况明显不如B组与C组,差异有统计学意义(P<0.05),B组与C组之间相比差异无统计学意义(P>0.05)。结论早发型重度子痫前期对于母婴的预后影响较大,在实施期待治疗的基础上一定要严格对母胎进行实时的监测,要根据母婴的实际状况在合适的时间终止妊娠,在宫颈状况允许的情况下最好选择剖宫产术终止妊娠。
Objective To analyze and summarize the effects of severe preeclampsia on termination of preeclampsia and perinatal outcome in severe preeclampsia. Methods A total of 103 pregnant women with early-onset severe eclampsia were treated in our hospital from February 2008 to December 2010. The pregnant women were grouped according to gestational age and expectant therapy was performed. Results The gestational age of pregnant women in the three groups varied greatly. The prolonged gestational age of pregnant women in group B was the longest. There was no significant difference in the gestational age between groups A and C (P> 0.05) (12 cases) in group A and only 14 cases in group B and group C (P <0.05). There was no significant difference in the complication between group B and group C (χ2 = 1.09, P> 0.05). The three groups were compared in neonatal situation. The prognosis of group A was significantly lower than that of group B and C (P <0.05), while there was no significant difference between group B and group C (P> 0.05). Conclusion Early onset severe preeclampsia has great influence on the prognosis of maternal and infant. On the basis of expectant treatment, the maternal fetal must be monitored strictly in real time. Pregnancy should be terminated at appropriate time according to the actual conditions of mother and infant. Cesarean section termination of pregnancy is best if allowed.