早发型重度子痫前期期待治疗对母婴结局影响的探讨

目的:探讨早发型重度子痫前期期待治疗对母婴结局影响。方法:回顾性分析我院2009年12月至2010年6月收治的140例早发型重度子痫前期患者的临床资料,按照孕周的不同分为A组(<28周)、B组(28～31+6周)和C组(32～34周),比较三组患者的母婴结局。结果:随着孕龄的延长,并发症的发生率逐渐降低,但A、B、C三组无显著性差异(P>0.05);B组的治疗时间显著长于A、B两组(P<0.05);A组以引产为主,B、C组以剖宫产为主,A组与B、C组有显著性差异(P<0.05);随着孕龄的延长,胎死宫内、新生儿窒息、死亡率的逐渐降低,A组与B、C组有显著性差异(P<0.05)。结论:早发型子痫前期患者的孕周越小,母婴的预后越差,短期的保守治疗可有效的延长孕周,同时在适当的时候采取合适的方式终止妊娠,可改善母婴结局。

Study about Maternal and Neonatal Outcomes of Expectant Treatment in Early Onset of Severe Preeclampsia

Objective:To investigate expectant treatment effects of early onset of severe preeclampsia on maternal and neonatal outcomes.Methods:140 cases of early onset severe preeclampsia patients were retrospective analyzed in our hospital from 2009 Dec to 2010 Jun,according to the different gestational weeks were divided into group A(<28 weeks),group B(28 ~31+6 week) and group C(32 to 34 weeks),were compared the maternal and neonatal outcomes between the three groups.Results:With the gestational age of the extension,the complication rate was reduced gradually,but A,B,C three groups had no significant difference(P>0.05);The treatment time was longer than that in group B A,B two group(P<0.05);group A to induction of labor,B,group C with cesarean section production mainly,A group and B group,C had significant difference(P<0.05);with the gestational age of the extension,intrauterine fetal death,neonatal asphyxia,mortality decreased gradually,and the B A group,C group were significantly different(P<0.05).Conclusion:Early onset preeclampsia pregnant is less,maternal-fetal prognosis is worse,short-term conservative treatment can effectively prolong gestational weeks,at the same time can take appropriate way to terminate the pregnancy at the appropriate time,may improve pregnancy outcome.