早发型重度子痫前期临床分析

摘要

目的：探讨早发型重度子痫前期治疗、终止妊娠时机与母儿的结局。方法回顾性分析64例不同孕周早发型重度子痫前期患者的临床资料。根据其发病孕周分成3组，即A组（孕周＜28周）10例、B组（28周≤孕周＜32周）30例、C组（32周≤孕周＜34周）24例。结果 A、B、C 3组孕产妇并发症发生率分别为70．0％，66.7％，20.8％，3组孕产妇并发症发生率比较，差异有统计学意义（ P＜0.05）；保守治疗时间B组明显长于其他两组（ P＜0.05）；B、C两组分娩方式以剖宫产为主。结论早发型重度子痫前期病情重，并发症发生率高，围生儿预后差，在期待治疗过程中应严密监护母体胎儿情况，适当延长孕周，适时终止妊娠，提高新生儿存活率。%Objective To investigate the treatment on terminating time and the maternal and prinatal outcome of early onset severe preeclampsia . Methods A retrospective analysis in 64 cases with early onset severe preeclampsia in different gestational ages .According to gestational ages , the cases were divided into three groups:group A(<28 weeks) with 10 cases, group B (28~32 weeks) with 30 cases and group C(32~34 weeks) with 24 cases.Results The complication incidence of pregnant women in groups A , B, C were 70%, 66.7%, 20.8%respectively;with the comparison of complication intidence of maternal women , the difference between 3 groups was statistically significant (P<0.05), conservative treatment time in group B was significantly longer than those in two groups(P<0.05);delivery mode in groups B, C were cesarean section mainly.Conclusion The cases with severe conditions on the early onset severe preeclampsia , and have high incidence of complications and poor perinatal outcomes, in the courses of expectant treatment , the situations of mothers and fetuses should be monitored closely , and the gestational age should be appropriately extended , the pregnancy should be term imitated at appropriate time to improve neonatal survival rate .