探讨期待治疗对不同孕周早发型重度子痫前期母儿结局的影响

摘要

Objective:To explore the effect of expectant treatment on early onset severe preeclampsia mother-child outcomes with different gestational age.Method:A total of 146 pregnant woman with early onset severe preeclampsia who were treated with expectant treatment in our hospital from February to November 2013 were selected,according to gestational weeks and severe preeclampsia classification standard,they were divided into 45 cases in group A,49 cases in group B and 52 cases in group C.Expectant treatment time,pregnant complications,pregnant outcome and perinatal infants of three groups were observed and recorded.Result:Expectant treatment time of group A and group C were significantly less than group B(P<0.05).The complication rate in group A was higher than that of group B,and the group B was higher than that of group C,the differences were statistically significant (P<0.05).The birth rate of the group C was the highest,and the differences in the three groups were statistically significant(P<0.05).The children weight of the group A was the lightest,and that of the group C was the heaviest,and the differences in the three groups were statistically significant(P<0.05). The children death rate of group A was higher than that of group B,and the group B was higher than that of group C,and the differences in the three groups were statistically significant(P<0.05).The Apgar scores of group A was lower than that of the group B,and that of the group B was lower than that of the group C,and the differences in the three groups were statistically significant(P<0.05).Conclusion:The expectant treatment used in patients with gestational age<28 weeks is difficult to achieve the purpose of improving perinatal outcomes.Patients with gestational age from 28 to 31 weeks should be adopted a positive and effective treatment expectations and lengthen gestational weeks properly.If patients’ gestational age is about 33 weeks,the patient can consider pregnancy termination for reducing the incidence of maternal complications.%目的：探讨期待治疗对不同孕周的早发型重度子痫前期孕妇及其产儿结局的影响。方法：选取本院2012年2月-2013年11月收治的146例早发型重度子痫的怀孕患者，按照孕周及重度子痫前期分类标准将其分为A组45例、B组49例和C组52例。根据临床情况进行期待治疗，并观察和记录三组的期待治疗时间、孕妇并发症、孕妇结局以及围生儿情况。结果：A组和C组的期待治疗时间均明显少于B组（P<0.05）。三组并发症发生率比较结果：A组>B组>C组，比较差异均有统计学意义（P<0.05）；三组孕妇中C组的顺产率最高，相互比较差异均有统计学意义（P<0.05）。三组围生儿中A组的体重最轻，C组最高，相互比较差异均有统计学意义（P<0.05）；围生儿的死亡率A组>B组>C组，比较差异均有统计学意义（P<0.05）；此外，对围生儿的Apgar评分结果显示，A组