早发型重度子痫前期胎儿不良围产结局及其影响因素分析  

Risk factors related to adverse perinatal outcome among pregnant women with early onset severe preeclampsia

作　　者：张红卫[1] 牛敬雪[2] 郭利 王琪[1] 赵红[2] 

机构地区：[1]首都医科大学附属北京妇产医院产科,北京市100026 [2]北京协和医学院护理学院,北京市100730

出　　处：《护理管理杂志》2012年第9期657-659,共3页Journal of Nursing Administration

基　　金：北京市科学技术委员会首都临床特色应用研究(Z111107058811029)

摘　　要：目的探讨早发型重度子痫前期胎儿不良围产结局及其危险因素。方法对89例单胎妊娠、接受期待治疗的早发型(发病孕龄24～34周)重度子痫前期患者的住院病例进行回顾性分析。结果不同发病孕龄的产妇其胎儿不良结局的发生率比较差异具有统计学意义(P<0.01);发病孕龄和入住房间床位数是胎儿围产结局的影响因素。结论入住房间床位数是胎儿发生不良围产结局的危险因素,发病孕龄是胎儿发生不良围产结局的重要保护因素,医务工作者应积极努力查找早发型重度子痫前期的发病原因,做好孕期保健,预防疾病的发生。Objective To explore the risk factors of adverse perinatal outcome among pregnant women with early onset severe preeclampsia. Methods The clinical data of 89 cases who were single pregnancy and received the expectant management of early - onset patients with severe preeelampsia were retrospectively analyzed. Their onset gestational age ranged from 24 weeks to 34 weeks. Results The incidences of adverse outcomes of different groups of different gestational ages were significantly different （ P 〈 0.01 ）. The gestational age and the number of beds in a room were influencing factors of adverse perinatal outcomes among women with early onset severe preeelampsia. Conclusion The occupancy number of beds in the room is a risk factor on adverse perinatal outcome, and gestational age is an important protective factor. Medical workers should actively strive to find the pathogenesis of early onset severe preeclampsia to provide high - quality maternity care and prevent from the occurrence of disease.

关 键 词：重度子痫前期 早发型 胎儿 围产结局 危险因素 

分 类 号：R473.71[医药卫生—护理学]