期待疗法治疗重度子痫前期的疗效分析  

The effective analysis of expectant treatment for the severe preeclampsia

作　　者：李霞[1] 曾洪伟[1] 程智鹏 王新东[1] 孙蓉[1] 

机构地区：[1]成都市第九人民医院重症监护室,四川成都610015

出　　处：《中国计划生育和妇产科》2010年第4期41-43,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨早发型重度子痫前期的临床特征、期待疗法、终止妊娠的时机及对孕妇和围产儿的影响。方法早发型重度子痫前期病例165例,按照保守治疗时间长短分为0～2天组105例、3～21天组60例;0～2天组病例资料以病历号为编号通过随机函数随机抽取60例作为A组,3～21天60例作为B组。分析比较两组孕产妇并发症及围产儿结局。结果孕产妇并发症A组较B组少,但差异无统计学意义(P>0.05)。围产儿死亡率A组较B组高,两组围产儿死亡率比较,差异有统计学意义(P<0.05)。结论对早发型重度子痫前期的处理应采取个体化原则。随着临床监测手段及新生儿救治水平的不断提高,早发型重度子痫前期期待治疗是可行的。但在治疗中应严密监测,权衡利弊,适时终止妊娠。Objective To study the clinical features,expectant treatment,the opportunity for terminating pregnancies of early onset severe preeclampsia and the effects of which on the perinatals.Methods Totally 165 cases with early onset severe preeclampsia were divided the 0～48 hours group with 105 cases and the 3～21 days group with 60 cases according to the different time of conservative treatment.The medical record of 105 cases were set numbers and extracted 60 cases by random functions as A group and the other 60 cases with 3～21 days for conservative treatment as B group.The complications of pregnant women and the outcomes of the perinatals were compared between two groups.Results The complications of pregnant women in A group was less than that of B group but there was no significant difference（P0.05）.The perinatal mortality of A group was significant less than that of B group（P0.05）.Conclusion The treatment measures for early onset severe preeclampsia should be applied the individualized principle.The expectant treatment for early onset severe preeclampsia was feasible with enhanced clinical monitoring methods and treatment levels for newborns while it should be under careful monitoring and terminating pregnancies at proper time after considering the advantages and disadvantages.

关 键 词：重度子痫前期 期待疗法 孕妇并发症 

分 类 号：R714.244[医药卫生—妇产科学]