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目的探讨早发型重度子痫前期适时终止妊娠的时机与方式。方法回顾性分析早发型重度子痫前期71例的临床治疗资料。结果 A组(妊娠28～31周+6)28例患者中发生新生儿窒息14例(50%),围产儿死亡4例(14.2%)。B组(妊娠32～34周)43例患者中发生新生儿窒息10例(23.2%),围产儿死亡2例(4.65%)。两组新生儿窒息率、围产儿死亡率差异呈显著性(P<0.01)。结论子痫前期的危害程度与发病孕周和终止妊娠孕周密切相关,根据孕妇孕周大小、胎儿发育等综合情况适时选择保守或终止妊娠分娩方式,可有效降低早发型重度子痫前期围产儿死亡率,提高疗效。
Objective To explore the timing and mode of timely termination of pregnancy in early-onset severe preeclampsia. Methods The clinical data of 71 patients with early-onset severe preeclampsia were retrospectively analyzed. Results Among the 28 patients in group A (28-31 weeks gestation + 6), 14 cases (50%) were neonatal asphyxia and 4 cases (14.2%) were perinatal death. In group B (32 to 34 weeks of gestation), neonatal asphyxia occurred in 10 of 43 (23.2%) and 2 of perinatal deaths (4.65%). Two groups of neonatal asphyxia, perinatal mortality was significantly different (P <0.01). Conclusions The degree of preeclampsia is closely related to the gestational weeks of pregnancy and the gestational weeks of termination of pregnancy. Choosing conservatively or terminating delivery timely according to the gestational age, fetal development, etc. can effectively reduce the incidence of preeclampsia Mortality, improve the efficacy.