早发型重度子痫前期期待治疗及结局探讨  

作　　者：文智慧 

机构地区：[1]宁乡县妇幼保健院,湖南410600

出　　处：《当代医学》2013年第14期86-87,共2页Contemporary Medicine

摘　　要：目的探讨早发型重型子痫前期期待疗法的治疗及结局。方法 48例患者均为2009年1月-2012年12月间分娩的孕产妇,依孕周不同划分为:观察组为孕周<30周孕产妇共23例,对照组25例为孕30+1～34周孕产妇。观察两组孕产妇并发症及围产儿结局。结果两组孕产妇均有不同程度并发症发生,不同并发症对比,无统计学差异,而两组总并发症发生率对比,差异显著,χ2=5.41,P<0.05。两组新生儿均有不良结局发生,两组胎儿生长受限(FGR)、新生儿窒息发生率对比,无统计学差异,P>0.05;两组胎死宫内、新生儿死亡及围产儿死亡发生率对比,差异具有统计学意义,P<0.05。结论早发型重度子痫前期采用期待治疗具有可行性,可有效延长终止妊娠时间。Objective To explore the early onset severe preeclampsia expectant treatment and outcomes.Methods 48 cases of patients in our hospital from January 2009 to December 2012 delivery in pregnant women with gestational weeks, divided into： observation group gestational age 〈30 weeks pregnant women a total of 23 cases, 25 cases of the control group for 30＋1-34 weeks pregnant women. Observation of two groups of maternal complications and perinatal outcome.Results The two groups of pregnant women have different degrees of complications, different complications were compared, no significant difference between the two groups, but the total complication rate compares difference, X2=5.41 ,P〈0.05. Two groups of neonates and adverse outcomes have occurred, two groups of fetal growth restriction （ FGR ）, contrast the incidence of neonatal asphyxia, there was no significant difference （P〉0.05）; fetal death, death and perinatal death rate compared with intrauterine, newborn, a statistically significant difference, P〈0.05.Conclusion The early onset severe preeclampsia by expectation is the feasibility of the treatment, can effectively prolong the time of termination of pregnancy.

关 键 词：早发型 重度子痫前期 期待治疗 结局 

分 类 号：R714.2[医药卫生—妇产科学]