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目的探讨早发型重度子痫前期的期待治疗效果,对期待治疗与围生结局的相关性进行分析。方法选取早发型重度子痫前期孕妇78例,根据孕周不同将其分为三组,其中甲组(孕周为28~29周)24例、乙组(孕周为30~31周)26例,丙组(孕周为32~33周)28例,均展开期待治疗,对三组孕妇并发症发生情况、孕龄延长时间、新生儿体重增加值与围生结局进行对比。结果乙组孕龄延长时间显著长于甲组与丙组,新生儿体重增加值显著大于甲组与丙组,差异均具有统计学意义(P<0.05);乙组与丙组孕妇并发症发生率、新生儿ICU入住率与病死率均显著低于甲组,差异具有统计学意义(P<0.05);乙组和丙组间各指标比较差异无统计学意义(P>0.05)。结论早发型重度子痫前期的期待治疗可有效降低产妇并发症发生率,促使孕周延长,显著改善围生结局,值得在临床中推广。
Objective To investigate the expected treatment effect of early-onset severe preeclampsia and to analyze the relationship between expectant treatment and perinatal outcome. Methods Seventy-eight pregnant women with early-onset severe preeclampsia were divided into three groups according to their gestational age: group A (gestational age: 28-29 weeks), group B (gestational age: 30-31 weeks) Cases, Group C (gestational age of 32 to 33 weeks) in 28 cases, are expected to start treatment, the incidence of complications of the three groups of pregnant women, gestational age extended the value of neonatal weight gain and perinatal outcomes were compared. Results The gestational age of group B was significantly longer than that of group A and group C. The weight gain of neonates was significantly higher than that of group A and C (P <0.05). The incidences of complications of group B and group C , Neonatal ICU occupancy rate and mortality were significantly lower than that of group A, the difference was statistically significant (P <0.05). There was no significant difference between group B and group C (P> 0.05). Conclusion Early treatment of severe preeclampsia can effectively reduce the incidence of maternal complications, promote gestational age, significantly improve the perinatal outcome, it is worth in the clinic.