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目的:探讨早发型重度子痫前期发病对妊娠结局的影响。方法:选取54例早发型重度子痫前期患者按照发病的孕周分为观察组A(孕周28～31周)和观察组B(孕周32～34周)各27例,观察比较两组患者并发症发生率及围产儿结局。结果:两组患者并发症发生率比较差异有统计学意义(P<0.05);两组患者围产儿死亡率、新生儿呼吸窘迫综合征发生率及新生儿窒息率比较差异有统计学意义(P<0.05);围产儿死亡率、新生儿呼吸窘迫综合征发生率及新生儿窒息率会随着孕周延长而逐渐降低。结论:早发型重度子痫的发病孕周对母儿结局具有重大的影响,对于子痫前期的孕妇应适当给予期待治疗,尽可能延后发病时间和选择在32周以后分娩,对降低并发症的发生率、改善母儿预后具有非常重要的临床意义。
Objective: To investigate the effect of early onset severe preeclampsia on pregnancy outcome. Methods: Fifty-four patients with early-onset severe preeclampsia were divided into observation group A (gestational weeks 28-31) and observation group B (gestational weeks 32-34 weeks) according to their gestational age. 27 cases were observed and compared Incidence of complications and perinatal outcome. Results: There was significant difference in the incidence of complications between the two groups (P <0.05). There was significant difference between the two groups in perinatal mortality, neonatal respiratory distress syndrome and neonatal asphyxia (P <0.05). Perinatal mortality, neonatal respiratory distress syndrome and neonatal asphyxia gradually decreased with gestational weeks prolonging. Conclusion: The incidence of early-onset severe eclampsia has a significant impact on the outcomes of both mother and child. Pregnant women with preeclampsia should be treated with expectant treatment, delayed onset time and delivery after 32 weeks as much as possible to reduce the complications The incidence of maternal and child to improve the prognosis has a very important clinical significance.