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目的:探讨早发型重度子痫前期临床特点及围生结局。方法:对2009年10月至2011年10月早发型重度子痫前期患者79例进行回顾性分析,根据入院孕周的不同分为A组42例(<32周)、B组37例(32～34周),比较两组患者并发症发生率、终止妊娠方式及围生儿结局等指标。结果:两组患者在年龄、孕产次、血压无明显差异的情况下,比较两组并发症发生率、宫内死胎发生率、新生儿窒息率、新生儿死亡率、剖宫产率及期待治疗时间,差异均有统计学意义(P<0.05)。结论:子痫前期患者发病时间越早,并发症的发生率及严重程度也随之增加,围生儿预后与发病孕周有着重要的相关性。
Objective: To investigate the clinical features and perinatal outcome of early-onset severe preeclampsia. Methods: From October 2009 to October 2011, 79 patients with early-onset severe preeclampsia were retrospectively analyzed. According to the different gestational weeks of admission, there were 42 cases in group A (<32 weeks), 37 cases in group B (32 cases) ~ 34 weeks), comparisons of complication rates, termination of pregnancy and perinatal outcomes in both groups. Results: Comparing the incidence of complications, intrauterine fetal death, neonatal asphyxia, neonatal mortality, cesarean section rate and expectation in the two groups with no significant difference in age, pregnancy time and blood pressure Treatment time, differences were statistically significant (P <0.05). Conclusion: The earlier the onset time of patients with preeclampsia, the incidence and severity of complications also increase, and the prognosis of perinatal children and the incidence of gestational weeks have an important correlation.