早发型子痫前期临床分析  

Clinical analysis of early of severe preeclampsia

作　　者：何玲[1] 薛伟[1] 

机构地区：[1]宁夏医科大学总医院产科,宁夏银川750004

出　　处：《宁夏医学杂志》2012年第12期1226-1227,共2页Ningxia Medical Journal

摘　　要：目的探讨早发型子痫前期的临床特点及母儿结局。方法对103例不同孕周的早发型子痫前期患者进行回顾性分析。根据发病孕周数分为<28周组、28～周组、32～38周组,比较3组间孕妇一般情况、并发症发生情况及围生儿结局情况间的差异。结果 3组孕妇一般情况(孕产次、年龄、血压情况)比较差异无统计学意义(P>0.05);3组间患者并发症发生率差异有统计学意义(χ2=6.60,P<0.05)。新生儿窒息发生率3组间比较差异有统计学意义(χ2=8.64、11.31、7.32,P<0.05),并随孕周延长而下降。结论早发型重度子痫前期患者发病孕周越小,母体并发症发生率越高,新生儿患病率及死亡率越高。Objective To explore the maternal and neonatal outcomes of early onset severe preeclampsia. Methods A retrospective study was carried out on 103 patients with early onset severe preeclampsia. They were divided into three groups according to their onset gestation ages： group I （ 〈 28 weeks）, group II （28 -32 weeks） and group III （32-~34 weeks）. Compared the difference of the pregnant women in general, complications and perinatals end in the three groups. Results There was no statistical signifi- cance in pregnant women in general （motherhood time, age, blood pressure） in the three groups （P 〉 0.05 ） ; There was statistical significant difference in complications in the three groups （ X2 = 6.60, P 〈 0.05 ）. There was statistical significant difference in Neonatal asphyxia rate in the three groups （X2 = 8.64, 11.31,7.32, P 〈 0.05 ） and neonatal asphyxia rate declined with the gestational weeks extended. Conclusion Gestational weeks in early severe preeclampsia patients is smaller, the incidence of maternal complications is higher, neonatal morbidity and mortality is higher.

关 键 词：早发型子痫前期 新生儿窒息 并发症 

分 类 号：R714.24[医药卫生—妇产科学]