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目的研究分析早发型和晚发型重度子痫前期分娩方式及母婴结局。方法选取襄城县人民医院2011年7月至2013年1月收治并确诊的55例重度子痫前期患者作为研究对象,其中早发型(观察组)27例,晚发型(对照组)28例,比较两组患者终止妊娠的方法、分娩方式及母婴结局的差异。结果两组孕妇均以剖宫产为主要分娩方式,差异未见统计学意义(P>0.05);观察组治疗性引产率高于对照组,阴道分娩率低于对照组,两组比较差异有统计学意义(P<0.05);两组胎儿生长受限、早产及窒息发生率比较差异有统计学意义(P<0.05);两组孕妇肝脏损害、肾脏损害、胎盘早剥、产后出血、HELLP综合征以及低蛋白血症等并发症情况比较差异有统计学意义(P<0.05)。结论早发型重度子痫前期病情重,发病早,并发症多,对母婴危害极大。对患者予以密切观察,并采取合理的分娩方式可改善母婴的围生结局。
Objective To analyze the mode of delivery and maternal-infant outcome of early-onset and late-onset severe preeclampsia. Methods Fifty-five patients with severe preeclampsia who were admitted to Xiangcheng County People’s Hospital from July 2011 to January 2013 were selected. Among them, 27 were early-onset (observation group), 28 were late-onset (control group) Comparison of two groups of patients with termination of pregnancy method of delivery and maternal and child differences in outcome. Results The cesarean section was the main mode of delivery in both groups of pregnant women, the difference was not statistically significant (P> 0.05). The therapeutic induction rate of the observation group was higher than that of the control group, the vaginal delivery rate was lower than that of the control group (P <0.05). There was significant difference in fetal growth restriction, premature birth and asphyxia between the two groups (P <0.05). The liver damage, kidney damage, placental abruption, postpartum hemorrhage, HELLP Syndromes and hypoproteinemia and other complications were significantly different (P <0.05). Conclusions Premature onset severe preeclampsia has severe illness, early onset and multiple complications, which are extremely harmful to mothers and infants. Close observation of patients and rational delivery methods can improve the perinatal outcome of mother and child.