高龄初产妇合并重度子痫前期对妊娠结局的影响

目的探讨高龄初产妇并发重度子痫前期对妊娠结局的影响。方法对高龄（≥35岁）和正常年龄（〈35岁）两组重度子痫前期单胎妊娠初产妇患者的临床资料进行回顾性分析,比较两组孕妇及围生儿的最终结局。结果观察组内科合并症发生率较对照组高,差异具有统计学意义（P〈0.05）,产后出血、胎盘早剥发生率两组比较无统计学差异（P〉0.05）。观察组低体质量儿出生率、新生儿窒息和围产儿死亡率较对照组高,差异有显著性（P〈0.05）,胎儿窘迫、新生儿畸形发生率组间比较无显著性差异（P〉0.05）。结论高龄初产妇并发重度子痫前期对对妊娠结局有着不利的影响,有必要进行有效的预防保健和临床处理。

The impact of elderly primipara with severe preeclampsia on pregnancy outcome

Objective To disscuss the impact of elderly primipara with severe pre-eclampsia on pregnancy outcome.Methods To analyze the clinical data of old age （≥35 years） and normal age （ 35 years old） groups with severe pre-eclampsia patients with singleton pregnancies primipara.To comparise the two groups＇ final outcome of pregnant women and perinatal.Results The incidence of medical complications of the observer group was higher than the control group;the difference was significant（P0.05）.The low birth weight birth,neonatal asphyxia and perinatal mortality rate of the observation group were higher than the control group;the difference was significant（P0.05）.Conclusion Elderly primipara with severe pre-eclampsia has negative impact on pregnancy outcome.It is necessary to carry out effective preventive health care and clinical treatment.