先兆子痫及子痫分娩时机与方式探讨(附173例分析)  

Study delivery times and ways of patients with pre-eclampia and eclampia:Analysis of 173 cases

作　　者：林秀琳[1] 徐惠贞[1] 

机构地区：[1]福建医科大学附属二院妇产科,362000

出　　处：《福建医药杂志》2004年第5期23-24,共2页Fujian Medical Journal

摘　　要：目的　探讨先兆子痫及子痫患者的分娩时机及分娩方式。方法　对 173例先兆子痫及子痫患者进行回顾性分析。结果　先兆子痫经治疗病情稳定 ,孕周≥ 36周 ,估计胎儿成活即终止妊娠 ;<36周子痫病情稳定 ,促胎肺成熟 ,尽量保胎至 36周选择适当的分娩方式终止妊娠。子痫抽搐控制后 6小时内终止妊娠 ,先兆子痫阴道分娩率 (5 7.2 4 % )高于子痫组 (2 8.5 9% ) ,而剖宫产率 (4 2 .76 % )低于子痫组 (71.4 2 % ) (P<0 .0 5 )。结论　先兆子痫及子痫患者病情控制稳定后 ,估计胎儿成活 ,孕周≥ 36周 ,选择适当的分娩方式 ,尽快结束分娩 ,是抢救母婴的重要措施。Objective To study delivery times and ways of the patients with pre-eclampia and eclampia.Methods We have made a retrospective analysis of 173 cases with severe PIH.Results The patients with pre-eclampsia were made to stabilize the process and should be delivered when the duration of pregnancy had advanced to 36 weeks.Termination ways should be chosen in an attempt to increase infant survival by permitting the fetus to become more mature for less than 36 weeks.Patients with eclampsia should bedelivered within six hours after convulsions were controlled.The rate of vaginal delivery with pre-eclampsia was higher than that with eclampsia.The rate of cesarean section with pre-eclampsia was lower than that with eclampsia.There was significant different between them(P<0.05).Conclusions Termination of the pregnancy is the decisive step in the treatment of both pre-eclampsia and eclampsia after the process to be stabilized and the duration of pregnancy is more than 36 weeks.It is important method for infant and maternal survival.

关 键 词：先兆子痫 终止妊娠 患者 分娩时机 病情 治疗 胎儿 重要措施 方式 稳定 

分 类 号：R714.2[医药卫生—妇产科学]