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目的:探讨重度妊娠子痫前期患者的母婴结局及终止妊娠的时机与分娩方式。方法:对122例重度子痫前期患者的临床资料进行回顾性分析。结果:孕龄<34周组与34～36+6周组、≥37周组的孕产妇并发症发生率随发病孕周延长而下降,但各组间比较差异无统计学意义。不同孕周的新生儿窒息及新生儿死亡则差异有统计学意义(P<0.01)。结论:治疗重度子痫前期及子痫适时终止妊娠是关键,终止妊娠方式主要为剖宫产。
Objective: To investigate the maternal and infant outcomes and the timing of termination of pregnancy and mode of delivery in patients with severe pregnancy with preeclampsia. Methods: The clinical data of 122 patients with severe preeclampsia were retrospectively analyzed. Results: The incidence of maternal complications in gestational age group <34 weeks, 34th + 36th + 6th week, and> 37th week decreased with prolonged gestational age, but there was no significant difference between the groups. Neonatal asphyxia and neonatal death at different gestational weeks showed significant difference (P <0.01). Conclusion: The treatment of severe preeclampsia and eclampsia timely termination of pregnancy is the key termination of pregnancy is mainly for cesarean section.