早发型重度子痫前期不同终止妊娠时机的预后对比分析

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1、不範卿寸比分析2018-04-0809:50:18中国现代医生2018年4期蒋玲祥夏桂玉［摘要］目的探討早发盘重度子痫前期不同终止妊娠吋机的预后效果。方法选择2015年1月〜2017年5月在我院接受治疗的120例早发型重度子痫前期的患者，根据终止妊娠时孕周不同将所有患者分为三组，分别为终止妊娠<32周(A组)、终止妊娠为32〜33+6周(B组)、终止妊娠》34周(C组)，每组各40例。调查并统计三组孕产妇并发症以及围产儿结局、分娩方式。结果三组胎盘早剥、产后出血、低蛋白血症、酮症酸屮毒发生率比较，差异无统计学意义(P>0.05)；A组胎盘粘连、植入和H

2、ELLP发生率高于B组、C组，差异具有统计学意义(Pv0.05)；B组、C组胎盘粘连、植入和HELLP发生率比较，差异无统计学意义(P>0.05)；三组胎儿窘迫、胎死宫内发生率比较，差异无统计学意义(P>0.05)；A组围产儿死亡和新生儿窒息率高于B组、C组，差异具有统计学意义(P<0.05)；B组、C组围产儿死亡和新生儿窒息发生率比较，差异无统计学意义(P>0.05)；A组剖宫产率低于B组、C组，差异具有统计学意义(P<0.05)；B组、C组剖宫产率比较，差异无统计学意义(P>0.05)。结论早发型重度子痫前期患者在妊娠34周后终止妊娠能降低孕妇并发

3、症发生率和围产儿死亡、新生儿窒息率，母婴结局较好，剖宫产是其重耍终止妊娠手段。［关键词］早发型重度子痫前期；终止妊娠时机；产儿结局；孕产妇并发症［中图分类号］R714.2［文献标识码］B［文章编1673-9701(2018)04-0068-04［Abstract］ObjectiveToinvestigatetheprognosticeffectsofdifferentpregnancyterminationtiminginearlyonsetseverepreeclampsia・Methods120patientswithearlyonsetsever

4、epreeclampsiatreatedinourhospitalfromJanuary2015toMay2017wereselected,andtheyweredividedintoterminationofgestationalweeks<32weeksCAgroup),32weeks0.05)；Theincidenceofplacentaadherenee,implantatiorbHELLPinAgroupwashigherthanthatinBandCgroup(P<0.05)；Therewasnostatisticaldifferencei

5、ntheincidenceofplacentaadherenee,implantation,HELLPbetweenBandCgroup(P>0.05)；Therewasnostatisticaldifferenceintheincideneeoffetaldistressandintrauterinedeathamongthethreegroups(P>0.05),theincidenceofperinataldeathandneonatalasphyxiainAgroupwashigherthanthatinBandCgroup(P<0.05),a

6、ndtherewasnostatisticaldiffereneeintheincideneeofperinataldeathandneonatalasphyxiabetweenBandCgroup(P>0.05)；ThecesareansectionrateofAgroupwaslowerthanthatofBandCgroup(P<0.05),andtherewasnostatisticaldiffereneeinthecesareansectionratebetweenBandCgroup(P>0.05)・ConclusionThetermina

7、tionofgestationalweeksafter34weeksinearlyonsetseverepreeclampsiacandecreasetheincideneeofmaternalcomplications,perinataldeathandneonatalasphyxia,achievebettermother-infantprognosis.Thecesareansectionisimportantmethodofpregnancytermination.［Keywords］Earlyonsetseverepreeclampsia；P

8、regnancyterminationtiming；Perinataloutcome；Mate