| 罗小卿陈少娟黄冰霜.早发型重度子痫前期终止妊娠对母婴预后的影响分析[J].,2012,12(21):4096-4098 |
| 早发型重度子痫前期终止妊娠对母婴预后的影响分析 |
| The Effect of Pregnancy Termination in Early Onset Severe Preeclampsiaon Maternal and Neonatal Prognosis |
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| DOI： |
| 中文关键词: 早发型重度子痫前期 终止妊娠 母儿结局 |
| 英文关键词: Early onset severe preeclampsia Termination of pregnancy Prognostic outcome |
| 基金项目: |
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| 摘要点击次数: 775 |
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| 中文摘要: |
| 目的：探讨早发型重度子痫前期终止妊娠时机对母婴预后结局的作用，为临床实践提供指导。方法：从2007 年1 月至2010
年12 月期间在我院妇产科分娩并为重度子痫前期患者中随机选取135 例作为研究对象。按终止妊娠时间分为两组，A 组< 32
周、32 周≤B 组≤34 周。对两组均终止妊娠，比较两组间血压状况、尿蛋白、血小板、凝血、眼底状况及胎儿监护。结果：A 组的胎盘
早剥、子痫和肾功能损害的发生率略高于B 组，然而差异均无统计学意义(P>0.05)。A 组的新生儿窒息率，新生儿呼吸窘迫综合征
发生率，围产儿死亡率等3 个指标均明显高于B 组，且卡方检验显示，两组比较差异有显著性（P < 0.05）。结论：对于终止妊娠的
时间、方式应根据患者的状况进行综合考虑。无论选择何时终止妊娠或治疗，都应该综合考虑母婴两方面的状况，密切进行监护，
尽量获得良好的结局。 |
| 英文摘要: |
| Objective: To investigate the effect of pregnancy termination in early onset severe preeclampsia on the perinatal outcomes,
and to provide guidance for clinical practice. Methods: 135 severe pre-eclampsia patients who gave birth in our hospital from January
2008 to December 2010 were selected in the study. All patients were divided into two groups according to pregnancy termination times,
group A <32 weeks, and 32 weeks ≤ group B ≤ 34 weeks. Compare the blood pressure, urine protein level, thrombocyte, eyeground
changes and fetus monitor. Results: The incidence of placental abruption, eclampsia, and renal dysfunction were slightly higher in group
A than group B, however, there was no significant difference (P> 0.05). The incidence of asphyxia, neonatal respiratory distress syndrome,
perinatal mortality were significantly higher in group A than in group B, and the chi-square test showed the difference was significant
(P <0.05). Conclusion: The time and ways for termination of pregnancy should be chosen based on the patient's condition. The mother
and child situation should be considered whenever to terminate the pregnancy. Close monitoring was necessary to get a good outcome. |
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