早发型重度子痫前期期待治疗对母婴结局影响的探讨

目的探讨早发型重度子痫前期期待治疗对母婴结局的影响。方法回顾性分析我院2009年1月至2011年6月收治的140例早发型重度子痫前期患者的临床资料,按照孕周的不同分为A组(<28周)、B组(28～31+6周)和C组(32～34周),比较三组患者的母婴结局。结果随着孕龄的延长,并发症的发生率逐渐降低,三组比较差异无统计学意义(P>0.05);B组的治疗时间明显长于A、C组(P<0.05);随着孕龄的延长,胎死宫内、新生儿窒息、死亡率逐渐降低,A组与B、C组比较,差异有统计学意义(P<0.05)。结论早发型子痫前期患者的孕周越小,母婴预后越差,而短期保守治疗可有效延长孕周,同时,在适当的时候采取合适的方式终止妊娠,可改善母婴结局。

Influence on maternal and neonatal outcomes of expectant management on early-onset severe preeclampsia

Objective To explore the influence on maternal and neonatal outcomes of expectant management on early-onset severe preeclampsia.Methods 140 cases of early-onset severe preeclampsia from January 2009 to June 2011 were divided into group A(<28 weeks),group B(28～31+6 weeks)and group C(32～34 weeks),the outcomes of the three groups were analyzed.Results With the extension of gestational age,the incidence of complications was gradually decreased,but there was no difference between the three groups(P>0.05);the treatment time of group B was longer than that of the other groups(P<0.05);intrauterine,newborn death rate of gradually reduced,compared with group B and group C,those of group A decreased significantly(P<0.05).Conclusion The smaller of the gestational weeks,the worse of the mother and infant prognosis.Short-term expectant treatment can effectively prolong gestational age,and at the correct time,taking the right way to terminate pregnancy can improve the mother and infant′s outcomes.