期待治疗在早发型重度子痫前期中的应用及妊娠结局分析

目的探讨期待治疗在早发型重度子痫前期中的应用效果及其对妊娠结局的影响。方法选取2005年至2011年我院收治的126例早发型重度子痫前期患者，按孕周不同分为A组（〈28周）40例、B组（28～31周）45例和C组（32～34周）41例，分别给予期待治疗，比较三组患者治疗情况、并发症及围生儿并发症发生率。结果A组期待治疗天数及终止妊娠时间均短于B、c组，围生儿并发症率高于B、c组，差异有显著性（P〈0．05）；A组孕产妇并发症率高于B、C组，但三组差异无显著性（P〉0．05）。结论早发型重度子痫前期能对母婴造成严重危害，患者孕周越短母婴预后越差，而综合各种因素后给予一定时间的期待治疗延长孕周并在合适时间终止妊娠，可改善母婴预后。

Analysis on application and gestational outcomes of expectant management in treatment of early onset severe preeclampsia

Objective To explore the curative effect and influence of expectant management on ear- ly-onset severe preeclampsia. Methods According to gestational age, 126 cases of early-onset severe preeclampsia from 2009 to 2011 were divided into group A （〈28 weeks）, group B （28~31 weeks） and group C （32-34 weeks）. Each group was given an expectant management then analyzed the outcomes of the patients as well as the maternal and perinatal complications. Results Expectant number of treatment days and termination of pregnancy in group A were lower than those of group B and C while the incidence of maternal and perinatal infants complications was higher （/？〈0.05）. Conclusion The early onset of severe preeclampsia on maternal and child health leads to serious harm, the shorter the gestational age is, the worse the prognosis becomes. Giving ex- pectant treatment can extend the gestational age to a degree, thus improve the prognosis.