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目的:针对自发性早产和重度子痫前期早产的临床结果进行对比,探讨有效的干预措施。方法:选取2013年10月~2015年10月之间于我院住院分娩的100例重度子痫前期早产产妇,设为观察组,另选同期的自发性早产产妇100例,设为对照组。每日监测产妇与胎儿的生命体征,统计分娩方式、产妇产前并发症及围生儿分娩结局。结果:观察组的剖宫产率为82.0%,高于对照组(35.0%),产前并发症发生率为97.0%,高于对照组(3.0%),差异显著;两组围生儿的死亡率无显著差异,P>0.05;观察组围生儿的监护时间长于对照组,呼吸窘迫综合征、重度窒息和其他疾病的发生率分别为29.0%、16.0%和31.0%,均高于对照组,新生儿体重轻于对照组,差异显著,P<0.05。结论:自发性早产与重度子痫前期早产均会严重影响胎儿的生命质量,后者影响更大。因此要严格实施产前监护,定期产检,降低早产率,保障母婴安全。
OBJECTIVE: To compare the clinical outcomes of spontaneous preterm and preterm preterm preeclampsia and explore effective interventions. Methods: One hundred patients with severe preeclampsia who were hospitalized in our hospital from October 2013 to October 2015 were selected as the observation group. Another 100 cases of spontaneous preterm labor during the same period were selected as the control group. Daily monitoring of maternal and fetal vital signs, statistical methods of delivery, maternal prenatal complications and perinatal delivery outcomes. Results: The rate of cesarean section in the observation group was 82.0%, higher than that in the control group (35.0%). The incidence of prenatal complications was 97.0%, which was significantly higher than that in the control group (3.0%). There was no significant difference in mortality rate between two groups (P> 0.05). The monitoring time of perinatal children in the observation group was longer than that in the control group. The incidence of respiratory distress syndrome, severe asphyxia and other diseases were 29.0%, 16.0% and 31.0% Group, newborn weight was lighter than the control group, significant difference, P <0.05. Conclusion: Both spontaneous preterm birth and severe preeclampsia preterm birth will seriously affect the quality of life of the fetus, the latter has a greater impact. Therefore, we must strictly enforce the prenatal care, regular check-ups, reduce preterm birth rates and ensure the safety of mother and baby.