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目的探讨早发型重度子痫前期产妇的分娩方式和对母儿结局的影响。方法将215例早发型重度子痫前期产妇按不同的发病孕周、终止妊娠孕周、分娩方式分组观察。结果不同发病孕周剖宫产率、自然分娩率、引产率以及产妇并发症、围生儿死亡率、围生儿并发症的发生率差异有统计学意义;不同终止妊娠孕周自然分娩率、引产率差异亦存在统计学意义;不同分娩方式产妇并发症、围生儿死亡率、围生儿并发症的发生率差异无统计学意义。结论发病孕周<28周的产妇应根据病情及时终止妊娠,从而降低产妇并发症、围生儿死亡率、围生儿并发症的发生率;剖宫产仍是终止妊娠的主要方式;对无严重并发症的早发型重度子痫前期产妇经阴道分娩是安全可行的。
Objective To explore the mode of delivery and the effect on maternal and infant outcomes of premature severe preeclampsia. Methods 215 cases of early-onset severe preeclampsia mothers were grouped according to different gestational age, gestational age and mode of delivery. Results The incidences of gestational cesarean section, spontaneous delivery rate, induced abortion rate, maternal complications, perinatal mortality and perinatal complications in different gestational weeks were significantly different. The rates of natural delivery, The differences in induction rates were also statistically significant. There was no significant difference in the incidence of maternal complications, perinatal mortality and perinatal complications among different modes of delivery. Conclusions The pregnant women whose gestational weeks <28 weeks should terminate the pregnancy according to the disease and reduce the incidence of maternal complications, perinatal mortality and perinatal complications. Cesarean section is still the main way to terminate the pregnancy. Severe complications of early-onset severe preeclampsia vaginal delivery of mothers is safe and feasible.