布隆迪和中国孕妇子痫前期患者妊娠结局-pregnancy outcome of pregnant women with preeclampsia in burundi and china.docxVIP

CONTENTSABSTRACTObjective:ThisstudyaimedtodescribepregnancyoutcomesanddiversityofcareinpreeclampticChineseandBurundianpregnantwomen.Methods:Datafrom137ChinesepreeclampticpatientswhohadbeentreatedwithMgS04routinelyduringtheirhospitalizationattheFirstAffiliatedHospitalofFujianMedicalUniversitylocatedinP.R.ChinafortheperiodofJanuary2011toDecember2013and46BurundianpreeclampticpatientswhohadneverbeentreatedwithMgS04duringtheirhospitalstayatBurundiUniversityteachinghospitalfortheperiodofJanuary2012toDecember2012hadbeenretrospectivelyanalyzed.DatawereanalyzedbyusingSPSS18software.P-value0.05wasconsideredtobestatisticallysignificantat95%confidenceinterval.Results:AllChinesewomen(100%)werefoundtoattendantenatalcare,butonly67.4%ofBurundianhadtheantenatalcarevisits(P0.001).MoreBurundianruralresidentswomenweredetectedtodeveloppreeclampsiaandmostofthemarereferredbyotherhospitals(P0.05).Amongallwomenwhohadpreeclampsiainthosetwocountries,BurundianwomenhadpooreroutcomethanChinese.Complicationssuchaseclampsia,renaldysfunction,HELLPsyndromeandmaternaldeathweresignificantlyhigherinBurundianwomen(P0.05).Bycontrast,placentalabruptionandpostpartumhemorrhagearemorecommoninChinesewomen,butthedifferencewasnotstatisticallysignificant.Oligohydramnios,neonatalrespiratorydistress,fetalintrauterinedeath,neonataldeathandNICUadmissionweresignificantlydifferentinthestudiedgroups(P0.05).Conclusions:PoormaternalandneonataloutcomesaremorelikelytobeseeninBurundianpreeclampticwomenandplacentalabruptionandpostpartumhemorrhagearecommonlyseeninChinesepreeclampticbutthemaincauseisunknown.MgS04shouldtobeusedroutinelyinpreeclampticpatientstoreducematernalandperinataladverseoutcomesindevelopingcountriessuchasBurundi.Keywords/关键词:Preeclampsia,eclampsia,China,Burundi,Hypertension摘要目的:通过了解布隆迪东部地区(布琼布拉)和中国东南地区(福州)子痫前期患者母婴的妊娠结局，探讨减少子痫前期并发症引起母婴不良结局的方法。方法:回顾性分析2011年1月至2013年12月在福建医科大学附属第一医院分娩的137例用过硫酸镁治疗的子痫前期患者作为治疗组以及2012年1月份到2012年12月份在布隆迪医科大学附属医院分娩的46例没用过硫酸镁治疗的子痫前期患者作为观察组，比较两个不同种族母婴常见并发症。结果:在观察组中,小于20岁的子痫前期患者4例占8.7%,