论文部分内容阅读
作者对患重度先兆子痫、子痫年轻初产妇406人及正常妊娠初产妇409人的再孕情况及远期预后做了详细的调查随访。作者将重度先兆子痫287人,子痫119人做为研究组。正常妊娠409人为对照组。两组病人在年龄、种族、孕龄方面无显著差异。在调查随访前作者进行了严格筛选,两组病人均符合以下条件:①病人在孕前无任何内科合并症;②妊娠20周前检查血压在正常范围;③第一胎产后连续随访二年以上;④研究组病人第一胎产后8周内血压恢复正常;⑤每例病人至少有一次再孕机会(妊娠>20周)。随访内容:再孕后先兆子痫发病率,围产儿情况、胎盘早剥发生率,慢性高血压病,糖尿病发病情况。随访结果:研究组病人在第二次妊娠时先兆子痫的复发率占45.4%,对照组的发病率仅为7%,两组差异极其显著P<0.0001。在研究组病人中,第一胎妊娠
The authors made a detailed survey of the pregnancy status and long-term prognosis of 406 patients with severe preeclampsia, mild primipara and 409 primiparae in normal pregnancy. The author of 287 preeclampsia, epilepsy 119 people as a research group. 409 normal pregnancy as control group. There was no significant difference in age, race, gestational age between the two groups of patients. The authors conducted a rigorous screening prior to the investigation. Both groups of patients met the following criteria: (1) patients had no medical complications before pregnancy; (2) blood pressure was normal within 20 weeks of gestation; (3) ④ study group, the first child within eight weeks postpartum blood pressure returned to normal; ⑤ each patient at least once again pregnant opportunity (pregnancy> 20 weeks). Follow-up content: Pre-pregnancy incidence of preeclampsia, perinatal conditions, the incidence of placental abruption, chronic hypertension, the incidence of diabetes. The follow-up results: The recurrence rate of preeclampsia was 45.4% in the study group and only 7% in the control group, the difference between the two groups was extremely significant (P <0.0001). In the study group, the first child was pregnant