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目的观察不同孕周重度子痫前期患者预后及母婴结局情况,为临床治疗提供依据。方法选取重度子痫前期患者120例,按照孕周不同将其分为A组(<37周)50例、B组(>37周)70例,对两组患者临床基本情况、并发症以及母婴结局等进行比较分析。结果 B组入院孕周(38.2±2.3)周,A组为(34.5±1.9)周,B组比A组延后(P<0.05);B组治疗时间(9.2±1.6)天,A组为(15.4±2.2)天,B组比A组明显减少(P<0.05);在孕妇分娩前并发症发生率、新生儿窒息发生率及死亡率方面,B组明显低于A组(P<0.05);两组剖宫产率和阴道分娩率比较差异均具有统计学意义(P<0.05)。结论不同孕周会对重度子痫前期孕妇、胎儿及新生儿病死率产生一定影响,其中孕周越早,孕妇并发症越多,围产儿预后情况越差。
Objective To observe the prognosis and maternal and infant outcomes of patients with severe preeclampsia in different gestation weeks and provide the basis for clinical treatment. Methods Seventy patients with severe preeclampsia were divided into group A (n = 37), group A (n = 37) and group B (n = 70) for 70 weeks. 120 patients with severe preeclampsia were divided into two groups according to their basic clinical conditions, complications, Infant outcomes for comparative analysis. Results The average gestational age in group B was (38.2 ± 2.3) weeks, in group A was (34.5 ± 1.9) weeks, in group B was longer than that in group A (P <0.05), in group B was (9.2 ± 1.6) days, (15.4 ± 2.2) days, the B group was significantly lower than that of the A group (P <0.05); B group was significantly lower than the A group in the incidence of complications before delivery, neonatal asphyxia and mortality ). There was significant difference between the two groups in cesarean section rate and vaginal delivery rate (P <0.05). Conclusions Different gestational weeks will affect the mortality rate of pregnant women, fetuses and newborns in severe preeclampsia. The earlier gestational weeks, the more complications of pregnant women, the worse prognosis of perinatal.