早发型重度子痫前期不同终止妊娠时机的预后对比分析.docVIP

不範卿寸比分析 2018-04-08 09:50:18中国现代医生2018年4期 蒋玲祥夏桂玉 ［］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(P0.05) ； A组胎 盘粘连、植入和HELLP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(P0.05)；三组胎儿窘迫、胎死宫内发生率 比较，差异无统计学意义(P0.05) ； 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(P0.05)；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(P0.05)； A组剖宫产率低于B组、C组，差异具有统计学意义(P0.05 ) ； B组、C组剖宫产率比较，差异无 统计学意义(P0.05)。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 ［］R714.2 ［］B ［文章编1673-9701 (2018) 04-0068-04 ［Abstract］ Objective To investigate the prognostic effects of different pregnancy termination timing in early on set severe preeclampsia ? Methods 120 patie nts with early on set severe preeclampsia treated in our hospital from January 2015 to May 2017 were selected, and they were divided into termi nation of gestational weeks32 weeksCA group), 32 weeks0.05)； The in cidence of place nta adhere nee, implantati orb HELLP in A group was higher than that in B and C group (P0.05) ； There was no statistical difference in the in cidence of place nta adhere nee, implantation, HELLP between B and C group (P0.05) ； There was no statistical difference in the incidenee of fetal distress and intrauterine death among the three groups (P0.05 ) , the in cidence of peri natal death and neon atal asphyxia in A group was higher tha n that in B and C group (P0.05) , and there was no statistical differe nee in the in cide nee of peri natal death and neonatal asphyxia between B and C group (P0.05) ； The cesarean section rate of A group was lower than that of B and C group (P0.05) , and there was no statistical differenee in the cesarean section rate between B and C group (P0.05)? Conclusion The termination of gestational weeks after 34 weeks in early onset severe preeclampsia can decrease the incidenee of mat