早发型重度子痫前期期待治疗妊娠结局分析

目的探讨早发型重度子痫前期及期待治疗对妊娠结局的影响。方法对2005年1月至2009年5月于我院住院分娩、孕周〈34周早发型重度子痫前期患者64例随机分为分期待治疗组28例（研究组）和非期待治疗组36例（对照组），评价各组的妊娠结局，包括新生儿出生体质量，围生儿病死率和患者产后3d24h尿蛋白定量。结果研究组28例，新生儿（早产儿）平均出生体质量（1870±430）g；对照组36例，早产儿平均出生体质量（1650±310）；研究组围生儿病死率5／28，对照组15／36。两组比较均有显著差异（P〈0．05）。研究组患者产后3d24h尿蛋白定量平均（1030±630）g／24h；对照组患者产后3d24h尿蛋白定量平均（990±540）g／24h，两组比较无显著差异（P〉0．05）。结论对早发型重度子痫前期进行有效的保守治疗，能明显增加新生儿出生体质量，提高新生儿的生存率，且并不增加产妇并发症和产后恢复的时间。

Analysis on outcome of pregnancy after expectant management of early onset severe pre-eclampsia

Objective To study the impact of expectant management on early onset severe pre-eclampsia in maternal and neonatal outcome.Methods Clinical data of 64 patients with early onset severe pre-eclampsia(onset during 28 to 34 gestational weeks)treated in this hospital during January,2005 to May,2009 were retrospectively analyzed,28 cases(trial group)received expectant management,and the remaining 36 cases(control group)received nonconservative therapy.The general condition of mother,complications and outcomes of ...