早发型重度子痫前期患者96例临床分析  

Clinical Analysis of 96 Cases with Early Onset Severe Preeclampsia

作　　者：周秋莲[1] 胡蓉[1] 向云[1] 赵春松[1] 吴正兰[1] 

机构地区：[1]湖南汉寿县人民医院,湖南汉寿415900

出　　处：《医学临床研究》2009年第11期2085-2087,共3页Journal of Clinical Research

摘　　要：【目的】探讨早发型重度子痫前期对围产期母婴预后的影响。【方法】对96例早发型重度子痫前期患者进行回顾性分析，根据其发病孕周分为3组，即A组（孕周〈28周），B组（28周≤孕周〈32周），C组（32周≤孕周〈34周）。【结果】早发型重度子痫前期3组患者并发症发生率随孕周增加而降低，但ABC各组间无显著性差异（P〉0．05）；3组间新生儿窒息率及围产儿死亡率均随孕周的延长而下降，且3组间差异均有统计学意义（P〈0．05）；B组期待治疗时间明显长于其他两组（P〈0．05）。【结论】早发型重度子痫前期母婴病死率较高，严重影响母婴预后，在期待治疗过程中应严密监护母胎情况，适时终止妊娠。[Objective] To study the impact of early onset severe preeclampsia on the maternal and neonatal outcome. [Methods] A retrospective study was carried out on 96 patients with early onset severe preeclampsia. They were divided into three groups according to hospitalized week of gestation： group A （G28 weeks）, group B （28～32 weeks） and group C （32～34 weeks）. [Results]The smaller the gestational weeks in severe preeclampsia, the higher the maternal complication rates, but there was no significant difference between the arbitrary two groups （ P〉0.05）. The neonatal asphyxia rate and perinatal mortality of the three groups declined following along with the gestational weeks, and there were significant differences in statistics between the arbitrary two groups （ P 〈0.05）. Expectant treatment time of group B was significantly longer than that of the other two groups （ P 〈0.05）. [Conclusion]The early onset severe preeclampsia badly influences the maternal and neonatal outcome. During the expectant treatment, the situation of maternity and fetus should be closely monitored and the pregnancy termination should be done in good time.

关 键 词：子痫 

分 类 号：R714.245[医药卫生—妇产科学]