系统性红斑狼疮合并妊娠16例妊娠结局分析  

The Pregnancy Outcome Analysis of Patients with Systemic Lupus Erythematosus with Pregnancy Complication

作　　者：张建军[1] 王炎强[2] 刘虹[1] 王英亮[2] 张明[2] 王晓东[2] 

机构地区：[1]潍坊医学院附属医院妇产科,山东潍坊261031 [2]潍坊医学院附属医院风湿科

出　　处：《潍坊医学院学报》2009年第4期291-293,共3页Acta Academiae Medicinae Weifang

摘　　要：目的探讨系统性红斑狼疮(SLE)合并妊娠对妊娠结局的影响。方法回顾性分析2003年1月～2007年9月我院16例SLE合并妊娠患者的临床资料。结果 16例SLE合并妊娠患者中非活动期8例,轻度活动期6例,中度活动期2例。非活动期8例足月顺产,6例轻度SLE活动期早产2例,足月顺产4例。 2例中度SLE活动期,1例死胎引产,1例早产。结论 SLE患者应掌握好妊娠时机,非活动期选择性妊娠,缓解期在妇产科、风湿科医生共同指导下妊娠,孕期加强监测,合理应用糖皮质激素,并加强母胎监护。Objective To investigate the clinical outcome of pregnancy complicated with systemic lupus erythematosus （SLE ）. Methods Sixteen cases of SLE with pregnancy were investigated retrospectively from January 2003 to September 2007 in Affiliated Hospital of Weifang Medical College. Results Among all the 16 cases,8 cases were in inactive phase,6 cases in mild active phase and 2 cases in moderate active phase;Eight cases in inactive phase had full-term normal delivery,6 cases in mild active phase,2 cases were preterm,4 cases were spontaneous labor. Among the 2 cases in moderately active phase, 1 case was induced labor, 1 case had premature birth. Conclusions SLE patients should select an appropriate pregnancy time. Pregnancy was selected while in inactive phase ; but in remission phase, with the help and the guidance of doctors in obstetrics and gynecology, rheumatology, strengthening the guardianship for moth- er and infants during the pregnancy, and proper use of glucocorticoids, maternal-fetal pregnancy outcome can be iraproved.

关 键 词：妊娠 红斑狼疮 系统性 妊娠结局 

分 类 号：R714.2[医药卫生—妇产科学]