早发型、晚发型重度子痫前期孕妇产后短期预后比较

摘要

Objective To compare the short-term prognosis between early-onset and late-onset preeclampsia pregnant woman.Methods Basic clinical data, blood pressure, urine protein and related biochemical indexesearly-onset and late-onset preeclampsia pregnant woman instant and forthy-two days, three month postpartum were analyzed retrospectively .Re-sults Postpartum blood pressure and urine protein leakage count in early-onset and late-onset preeclampsia group had no statistical difference(P>0.05); But the incidence of persistent high blood pressure and proteinuria in early -onset pre-eclampsia group was obviously higher than that in late-onset group 42 days and three months postpartum(P<0.05).Con-clusion With the termination of pregnancy , the state of illness of preeclampsia patients were getting better and even re-turned to be normal .But recovery of early-onset preeclampsia group was slower with persistent high blood pressure and pro-teinuria.%目的：比较早、晚发型重度子痫前期孕妇产后短期预后。方法回顾性分析140例早、晚发型重度子痫前期孕妇的临床基本资料，产后即时及产后42 d、产后3个月的血压、血脂、尿蛋白等生化指标。结果早发型子痫前期孕妇与晚发型子痫前期孕妇产后即时血压及尿蛋白水平比较无统计学差异（ P＞0．05）；但早发型子痫前期孕妇在产后42 d及产后3个月时持续高血压及蛋白尿的发生率均明显高于晚发型子痫前期孕妇（P＜0．05）。结论随着妊娠的终止，重度子痫前期孕妇的病情逐渐好转，甚至恢复正常。但早发型子痫前期孕妇产后持续性高血压、蛋白尿的发生率均高于晚发型子痫前期孕妇，且其恢复时间更长。