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目的 :探讨汉族和维吾尔族 (维族 )间子痫发生率差异及其母婴预后与产科处理间的关系 ,探讨子痫患者中终止妊娠的时机与方式的重要性。方法 :对 5年来分娩的 5 0 31例汉、维两族中子痫发生率及母婴预后进行回顾性对比分析。结果 :1汉维两族子痫发生率分别为 4.2‰和 13.5‰ ,两组差异十分显著 (P<0 .0 5 ) ;2围产儿预后在终止妊娠的时机 ,选择于子痫发生后 2 4小时以内者较 2 4小时以后者良好 ,前组围产儿窒息率 30 % ,新生儿病死率 11.8% ,后组分别为77.8%和 6 6 .7% (P<0 .0 5 ) ;3不同的分娩方式对母婴预后无明显差异。剖宫产与阴道产两组比较 ,产后出血量、产 (术 )后病死率和新生儿结局均无明显差异 (P>0 .0 5 )。结论 :1子痫发生率维族明显高于汉族 ;2子痫患者中终止妊娠的时机直接影响围产儿预后 ;3子痫患者的母婴预后与分娩方式无明显相关。
Objective: To explore the relationship between the incidence of eclampsia and the prognosis of maternal and neonatal Han and Uigur people (Uygur) and obstetrics, and to discuss the importance of timing and mode of termination of pregnancy in patients with eclampsia. Methods: A retrospective comparative analysis of the incidence of eclampsia and the prognosis of maternal and infant in 5 031 cases of Han and Wei ethnic groups in 5 years. Results: 1 Han and Wei two eclampsia rates were 4.2 ‰ and 13.5 ‰, the difference was significant (P <0.05); 2 perinatal outcome in the timing of termination of pregnancy, the choice of eclampsia after 2 4 hours were better than 24 hours. The incidence of perinatal asphyxia was 30% and the neonatal mortality rate was 11.8% in the first group and 77.8% and 6.67% (P <0. 05) in the latter group respectively Different modes of delivery had no significant difference in the prognosis of maternal and infant. There was no significant difference in postpartum hemorrhage, postpartum mortality and neonatal outcome between cesarean section and vaginal delivery (P> 0.05). Conclusions: 1 The incidence of eclampsia in Uighur population is significantly higher than that in Han population. 2 The timing of termination of pregnancy in eclampsia patients directly affects the prognosis of perinatal children. 3 The maternal and infant prognosis of patients with eclampsia has no significant correlation with the mode of delivery.