重度子痫前期合并胎儿生长受限经羊膜腔灌注治疗后的结局分析  

Analysis of perinatal results of severe preeclampsia complicated with fet al growth restriction by amniotic infusion

作　　者：郭颖[1] 张玉洁[1] 康佳丽[1] 

机构地区：[1]广州医学院附属广州市第一人民医院,510180

出　　处：《中国实用医药》2011年第10期15-16,共2页China Practical Medicine

基　　金：广东省科技计划项目(项目编号:2007B030501001)

摘　　要：目的探讨重度子痫前期合并胎儿生长受限经羊膜腔灌注治疗后的妊娠结局。方法分析1997年1月至2010年10月在我院系统产检、分娩的重度子痫前期合并胎儿生长受限的孕妇共40例,予羊膜腔内灌注小儿复方氨基酸100ml(A组),同期抽取重度子痫前期合并胎儿生长受限的孕产妇36例(B组)。并对两组的妊娠结局及围生儿预后进行对比分析。结果重度子痫前期合并胎儿生长受限治疗组(A组)新生儿窒息、早产、新生儿呼吸窘迫综合征、新生儿肺炎,高胆红素血症、低出生体重儿的发生率显著降低。结论重度子痫前期合并胎儿生长受限是一种严重危害围生儿的疾病,积极的处理有助于改善围生儿的预后。Objective To explore the pregnancy results of Severe preeclampsia complicated with fetal Growth Restriction by amniotic infusion Methods Forty cases of severe preeclampsia complicated with FGR had received prenatal care systematically and delivered in our hospital from Tan 1997 to OCT 2010（A group）.Pediatric compound amino acid 100 ml was perfused into the amniotic cavity.And thirty six cases of severe preeclampsia complicated with FGR were selected at the same time（B group）.The pregnancy results and prognosis of perineonates in the two groups were compared.Results The incidence of neonatal asphyxia,premature labor,meonatal respiratory distress sydrome,neonate pneumonia,hyperbilirubinemia,fetal growth restriction were significantly decreased on the therapy group（A group）（P0.05）.Conclusion Gestational diabetes mellitus complicated with fetal growth restriction is a disease which is seriously harmful to the perinatal health,and the active therapy can improve the neonatal prognosis

关 键 词：重度子痫前期 胎儿生长受限 羊膜腔灌注术 围生儿结局 

分 类 号：R714.245[医药卫生—妇产科学]