早发型重度子痫前期期待治疗对母婴结局的影响

目的分析并评价期待治疗方法对早发型重度子痫前期母婴结局产生的影响。方法将入我院治疗的186例早发型重度子痫前期患者按孕周分成3组,甲组:56例孕周<28周者,乙组:70例为28周≤孕周<32周者,丙组:64例为32周≤孕周<34周者。按照3组母婴状况给予不同时间的保守治疗,比较3组的母婴预后与妊娠结局。结果甲组患者的期待治疗天数以及终止妊娠时间均低于乙组和丙组,乙组病情加重情况比甲组及丙组患者更加明显,差异显著;甲组终止妊娠主要采取引产,乙组与丙组主要采取剖宫产,甲组与乙组和丙组相比差异显著;甲组胎儿或新生儿病死率均高于乙组及丙组,均具有统计学意义。结论早发型重度子痫前期能够对母婴健康带来严重的危害,在给予期待治疗时应尽量延长孕周,并全面考虑母婴状况,适时适式采取终止妊娠措施,以避免对母婴产生伤害。

The Early Onset of Severe Preeclampsia Look Forward to the Impact of Treatment on Maternal and Neonatal Outcomes

Objective To analyze and evaluate expect the impact of the treatment of early-onset severe preeclampsia and maternal and neonatal outcomes. Methods Into my hospital treatment of 186 cases of early onset severe pre-eclampsia patients according to gestational age divided into three groups, Group A： 56 cases of gestational age less than 28 weeks, Group B： 70 cases ≤ 28 weeks gestational age 〈32 weeks, Group C：60 cases of 32 weeks ≤ gestational age 〈 34 weeks who Given in accordance with the three groups of maternal and child status at different times of conservative treatment, maternal and child outcomes of three groups were compared with pregnancy outcome. Results Group A patients expect the number of treatment days, and termination of pregnancy were lower than Group B and Group C, Group B disease aggravated the situation Bijia group and Group C patients, the difference is significant; Group A termination of pregnancy has mainly taken the induction of labor, B The difference was mainly taken compared to cesarean section, Group A and Group B and Group C and Group C; Group A fetal or neonatal mortality rates were higher than Group B and Group C were statistically significant. Canclusiun The early onset of severe pre-eclampsia on maternal and child health lead to serious harm, to give expectant treatment should try to extend the gestational age, and full account of the maternal and child status, a timely and appropriate to take the termination of pregnancy measures to avoid maternal and child harmful.