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[目的]探讨早发型重度子痫患者前期发病情况及母婴结局。[方法]将某院收治的早发型重度子痫前期患者97例,依据发病孕周分成A组(28～31周)47例、B组(32～34周)50例,比较两组的母婴结局。[结果]两组病例均无孕产妇死亡和子痫发生;A组的妊娠并发症发生率为38.3%,明显高于B组的18.0%,两组比较差异有统计学意义(P﹤0.05);A组的新生儿窒息发生率为21.3%,明显高于B组的6.0%,且A组的新生儿阿氏评分明显低于B组,两组间差异均有统计学意义(P﹤0.05)。[结论]早发型重度子痫患者前期发病越早,母婴结局越差,临床上应及早发现该类疾病患者,并及时采取正确的保守治疗以改善母婴预后。
[Objective] To investigate the incidence of preeclampsia and maternal-infant outcome in patients with early-onset severe eclampsia. [Methods] A total of 97 patients with early-onset severe preeclampsia were enrolled in this study. According to the gestational age, 47 cases were divided into group A (28-31 weeks) and group B (32-34 weeks), 50 cases were compared. Baby ending. [Results] There was no maternal mortality and eclampsia in both groups. The incidence of pregnancy complications in group A was 38.3%, which was significantly higher than that in group B (18.0%). There was significant difference between the two groups (P <0.05). The incidence of neonatal asphyxia in group A was 21.3%, which was significantly higher than that in group B (6.0%). The newborn’s A score in group A was significantly lower than that in group B, with significant difference between the two groups (P <0.05) . [Conclusion] The earlier the incidence of early-onset severe eclampsia is, the earlier the morbidity is. The worse the maternal and infant outcomes, the early detection of these diseases should be detected in clinical practice. Correct conservative treatment should be taken in time to improve the prognosis.