重度子痫前期84例围产儿结局分析
重度子痫前期,,重度子痫前期；围产儿结局；分娩时机,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨妊娠期高血压疾病重度子痫前期孕妇分娩时机与围产儿结局的关系。方法 将84例重度子痫前期患者分为三组：30～33+6周(A组，n=12)，34～36+6周(B组，n=35)，37～40周(C组，n=37)进行回顾性分析。结果 84例患者中，剖宫产71例，剖宫产率84.52%。三组孕妇的分娩方式差异无统计学意义(P>0.05)。A组的新生儿窒息发生率、围产儿发病率和死亡率明显高于B组和C组，差异有统计学意义(P<0.05)，而B组与C组比较差异无统计学意义(P>0.05)。C组患者的胎儿窘迫发生率明显高于B组(P<0.01)。结论 适时终止妊娠是治疗重度子痫前期的重要措施，对降低围产儿发病率及死亡率有重要意义。重度子痫前期患者分娩时机宜在34～36+6周，具体还应依据病情严重程度和胎儿成熟度等做出综合判断。【关键词】 重度子痫前期；围产儿结局；分娩时机
Study on outcome of perinatal fetus:experience of 84 cases of severe preeclampsia
YAO Yan,OU Xiaochun,WU Wengui.Department of Obstetrics and Gynecology,The Affiliated Hospital of Loudi Health School,Loudi 417000,China
【Abstract】 Objective To analyze the relationship of perinatal fetus outcome and delivery opportunity in severe preeclampsia.Methods A retrospective analyses was conducted in 84 patients with severe preeclampsia in the following 3 groups:30～33+6week (group A,n=12),34～36+6week (group B, n=35),37～40week (group C,n=37).Results In these patients,71 underwent cesarean sections (84.5%).The models of delivery among patients in group A, B and C showed no significant difference (P>0.05).The incidence of asphyxia neonatorum,pernatal morbidity and mortality in patient in group A were significant higher than that in group B and group C (P<0.01),while the incidence difference between group B and group C was not significant (P>0.05).The incidence of fetal distress in uterus in group C was higher than that of group B (P<0.01).Conclusion Timely terminating pregnancy is one of the most important treatment for severe preeclampsia and is important to decrease perinatal morbidity and mortality.To terminate pregnancy in time,we will put emphasis upon gravidas who have gestational age 34～36+6 week in severe preeclampsia,and base on the synthetic judgment on severity of disease and fetal maturity. ......
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