先兆子痫孕妇终止妊娠时机观察

目的:拟对发病较早的先兆子痫孕妇终止妊娠的时机提供依据。方法:对本院 1998年至 2002年先兆子痫发病情况、终止妊娠时间、方式选择及母婴预后进行回顾性统计学分析。结果: 7 979例住院分娩孕产妇中,先兆子痫 306例,患病率为 3. 83%。孕产妇病死率为 0。新生儿窒息率及围产儿病死率均随孕周延长呈下降趋势,其中32~35周结束分娩产妇的新生儿窒息率较<31周结束分娩产妇的新生儿显著降低, 31 ~35周结束分娩产妇的围产儿存活率为 97. 95%,较<31周结束分娩产妇的围产儿显著升高,各孕周 (31~36周)并发症发生情况差异无统计学意义。结论:对于发病较早的先兆子痫孕妇在期待治疗过程中,须严密监护母儿情况,必要时可在 31 ~35周终止妊娠。

Study on pregnancy terminating time in patients with preeclampsia

Aim: To study the relationship between the pregnancy terminating time and perinatal and maternal outcomes in Patients with preeclampsia.Methods: The pregnant women in our hospital from the year of 1998 to 2002 were chosen,among which,306 cases were preeclampsia.The rates of complication,neonatal asphyxia, and mortality were evaluated.Results: The incidence of preeclampsia was 3.83%.The asphyxia rate and mortality rate of neonates decreaseed with the gestational weeks compared with the pregnant women with less than 31 gestational weeks,the neonate asphyxia rate of pregnant women with 32~35 gestational weeks were significantly lower,while the survival rate of pregnant women with 31~35 gestational weeks were significantly higher.The complications for the women with different gestational weeks had no significant differences.Conclusion: It is suggested that for the pregnant women with preeclampsia,the gestation can be terminated between 31~35 weeks if necessary.