重度子痫前期围生儿206例结局分析
Outcome analysis of 206 preinatals with severe preeclampsia
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                            摘要: 目的:探讨重度子痫前期(PE)终止妊娠时机对围生儿结局的影响。方法:对206例重度PE围生儿结局情况进行回顾分析,包括一般资料、并发症、临床监测指标等。结果:重度PE早发型并发症发生率为93.02%,高于迟发型的83.33%(P0.05);早发型重症PE新生儿Apgar评分7分和体重1 500 g者均低于迟发型(P0.05和P0.01),而2种类型的围生儿死亡率分别为18.60%和3.33%,差异有统计学意义(P0.01)。结论:保守治疗延长孕龄达32周可改善围生儿结局;各种监测方法是重度PE保守治疗的前提;终止妊娠时机决定围生儿结局。Abstract: Objective: To explore the effects of termination time on perinatals with severe preeclampsia(PE) .Methods: The clinical data, complications and clinical monitoring index of 206 perinatals with evere PE were retrospectively analysed.Results: The incidences of complications of early-onset PE were 93.02%,which were higher than that of late-onset PE(83.33%) (P0.05) .The early-onset PE with Apgar score greater than 7 and weight larger than 1500g were lower than that of late-onset PE(P0.05 andP0.01) .The perinatal mortality rates of two types of were 18.60% and 3.33% respectively,which difference was statistically significant (P0.01) .Conclusions: Conservative treatment to extend gestational age for 32 weeks can improve perinatal outcome.Various monitoring methods are the premise of conservative treatment and the termination time can affect the perinatal outcome.
 
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