早发型子痫前期并发症及妊娠结局分析

目的:了解早发型子痫前期并发症发生情况及妊娠结局的特点。方法:选择2009年1月～2010年12月60例早发型子痫前期患者,依据入院时子痫前期发病时间将其中的32例分为A组(发病孕周<28周),其余分为B组(发病孕周>28周)。结果:A组患者终止妊娠时间平均为(29.3±2.8)周,期待治疗时间平均为(9.0±2.4)天,显著少于B组的(33.6±1.8)周和(12.1±2.3)天,差异有统计学意义(P<0.05);A组患者剖宫产率为15.6%,显著低于B组(P<0.05);两组患者围生儿结局对比显示,胎死宫内、新生儿死亡、围产儿死亡及围产儿入住NICU发生率,差异有统计学意义(P<0.05)。两组患者并发症发生率比较无统计学差异(P<0.05)。结论:早发型子痫前期的患者,病情严重,并发症多,围生儿存活率低。对于既往曾有早发型子痫前期的患者,再次妊娠时,应依据情况提前进行处理,延缓疾病进展,在保障母体安全的情况下,最大程度的提高围生儿存活率。

Analysis on complications and pregnancy outcome of cases with early onset preeclampsia

Objective:To understand the occurrence of complications and characteristics of pregnancy outcome of cases with early onset preeclampsia.Methods:60 patients with early onset preeclampsia who were treated in the hospital from January 2009 to December 2010 were selected,then they were divided into group A(32 patients,gestational weeks of onset<28 weeks) and group B(28 patients,gestational weeks of onset>28 weeks) according to the onset time of early onset preeclampsia.Results:In group A,the average time to ter...