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目的探讨重度子痫前期并发胎儿生长受限(FGR)的相关因素。方法选择2007年4月—2009年4月在我院产科分娩的57例重度子痫前期单胎患者,按新生儿出生体重分为FGR组(A组)含小于胎龄儿和非FGR组(B组)含非小于胎龄儿。对二组中重度子痫前期患者监测指标进行分析,寻找重度子痫前期并发胎儿生长受限的相关因素。结果 A组中发病孕龄、分娩孕龄、1minApgar评分明显低于B组,差异有统计学意义(P<0.05);A组中血压高、眼底异常严重程度、羊水过少改变、24h尿蛋白定量明显高于B组,差异有统计学意义(P<0.05)。结论重度子痫前期患者并发FGR的主要危险因素是发病孕周和24CTP及高血压严重程度,积极防治,可改善母儿结局。
Objective To investigate the related factors of fetal growth restriction (FGR) in severe preeclampsia. Methods 57 patients with severe preeclampsia who gave birth in our hospital from April 2007 to April 2009 were divided into FGR group (group A) and non-FGR group (group A) Group B) with non-small gestational age children. The monitoring indicators of two groups of moderate and severe preeclampsia were analyzed to find out the related factors of the limited fetal growth in preeclampsia. Results The incidence of gestational age, gestational age, 1-minute apgar score in group A were significantly lower than those in group B (P <0.05). The high blood pressure, the severity of ocular fundus abnormalities, oligohydramnios, 24h urinary protein Quantitative was significantly higher than the B group, the difference was statistically significant (P <0.05). Conclusion The main risk factors of FGR in patients with severe preeclampsia are the incidence of gestational age and 24 CTP and the severity of hypertension, and active prevention and treatment can improve the outcome of both maternal and child.