早发型重度子痫前期患者分娩方式与围生儿结局的临床分析

目的探讨早发型重度子痫的分娩方式及围生结局。方法回顾性分析我院2007年1月～2012年1月就诊的108例的重度子痫前期患者,按照发病孕周分为A、B、C三组,A组：28～32周（15例）;B组：32＋1～34周（30例）;C组：34＋1～36周（63例）。比较三组分娩方式及围生儿结局。结果 A组呼吸窘迫综合征（respiratory distress syndrome,RDS）、颅内出血、新生儿窒息及围产儿死亡率明显高于B、C组;B组的新生儿感染及RDS比率明显高于C组。A组初产妇的新生儿窒息率（60%）明显高于经产妇（17%）。结论早发型重度子痫围生儿并发症发生率高,特别是初产妇,剖宫产为首选分娩方式。

Clinical analysis on the delivery mode and perineonate outcomes in early onset severe preeclampsia

Objective To explore the delivery mode and the maternal and neonatal outcomes in early onset severe preeclampsia.Methods 108 patients with preeclampsia were recruited in our retrospective study and divided into three groups: group A(28-32 weeks),group B(32+1-34 weeks),and group C(34+1-36 weeks).The delivery mode and the maternal and neonatal outcomes were compared.Results The incidence of neonatal RDS,intracranial hemorrhages,neonatal asphyxia and perinatal mortality in group A were significantly higher than that in group B and C(P < 0.05).The incidence of infections of the neonate and neonatal RDS in group B were significantly higher than that in group C(P < 0.05).In group A,the incidence of neonatal asphyxia in primiparas(60%) was significantly higher than that of multipara(17%).Conclusion The perineonate outcomes of early onset severe preeclampsia are bad,especially the primiparas.Uterine incision delivery is the best delivery mode.