124例早发型重度子痫前期妊娠结局分析  

Pregnancy outcome of 124 cases of early onset severe preeclampsia

作　　者：凌利[1] 李苒苒 马少平[1] LING li;LI Ranran;MA Shaoping(Department of Gynecology&Obstetrics,Yijishan Hospital of Wannan Medical College,Wuhu,Anhui 241000,China)

机构地区：[1]皖南医学院弋矶山医院产科,安徽芜湖241000

出　　处：《中国医学工程》2019年第8期57-60,共4页China Medical Engineering

摘　　要：目的探讨早发型重度子痫前期对妊娠结局的影响。方法回顾性分析该院2016年7月至2018年7月收治的孕28~34周的早发型重度子痫前期124例患者的临床资料。根据患者入院时孕周分为A、B两组,A组孕28~31^+6周,B组孕32~34^+6周,分别研究其保守治疗天数、孕产妇并发症及新生儿预后等。结果两组病例中单纯出现收缩压增高≥160 mmHg和/或舒张压≥110 mmHg较高血压合并出现其他症状的患者,保守治疗天数明显延长,差异有统计学意义(P<0.05)。患者保守治疗期间发病孕周越早,并发症出现越多,差异有统计学意义(P<0.05)。随着期待治疗时间延长及孕周增加,围生儿发病率明显下降,且下降趋势差异有统计学意义(P<0.05)。结论早发型重度子痫前期严重影响母婴预后,产检及产前教育尤其重要,控制体重及饮食,监测血压,预测子痫前期。无严重并发症的孕妇应在严密监测下行个体化治疗,适当地延长期待治疗时间能显著改善新生儿结局。但孕周的延长有一定的局限性,需权衡母体情况及产妇意愿来决定终止妊娠的时机。【Objective】To investigate the effect of early onset severe preeclampsia on pregnancy outcome.【Methods】The clinical data of 124 cases of early onset severe preeclampsia in 28-34 weeks pregnancy treated in our hospital from July 2016 to July 2018 were retrospectively analyzed.According to the gestational age at the time of admission,the patients were divided into two groups.Group A was pregnant for 28-31 weeks,and group B was pregnant for 32-34 weeks.The conservative treatment days,maternal complications and neonatal prognosis were studied.【Results】In the two groups,conservative treatment lasted longer in the patients with systolic blood pressure≥160 and or diastolic blood pressure≥110 mmHg than in patients with hypertension and other symptoms,and the difference was statistically significant(P<0.05).The earlier the gestational age of patients during conservative treatment,the more complications occurred,the difference was significant(P<0.05).With the extension of expectation treatment and the increase of gestational age,the incidence of perinatal children decreased significantly,and the decline trend was statistically significant(P<0.05).【Conclusion】Early onset severe preeclampsia seriously affects maternal and child prognosis.It is especially important for birth control and prenatal education.Weight and diet should be controled,blood pressure should be monitored,and preeclampsia should be predicted.Pregnant women without serious complications should be under close monitoring and individualized treatment,and appropriate extension of the expected treatment time can significantly improve neonatal outcomes.However,the extension of gestational age has certain limitations.It is necessary to weigh the maternal condition and the willingness of the mother to decide the timing of termination of pregnancy.

关 键 词：早发型重度子痫前期 期待治疗 孕产妇 新生儿 结局 

分 类 号：R714.244[医药卫生—妇产科学]