论文部分内容阅读
目的探讨不同类型早发型重度子痫前期(SPE)患者期待治疗时间及妊娠结局的差异。方法 116例早发型重度子痫前期患者,其中单纯早发型重度子痫前期患者94例(观察组),慢性高血压并发早发型重度子痫前期患者22例(对照组)。对比两组患者的期待治疗时间以及妊娠结局。结果对照组年龄高于观察组,观察组患者的胎儿生长受限发生率、收缩压及舒张压均明显优于对照组,对比差异具有统计学意义(P<0.05);观察组的期待治疗时间明显短于对照组(P<0.05);观察组的肺水肿和低蛋白血症发生率明显高于对照组(P<0.05)。结论单纯早发型重度子痫前期患者的期待治疗时间明显短于慢性高血压并发早发型重度子痫前期的患者,在此过程中若加强对孕妇的密切监测,适时终止妊娠,能降低围生儿死亡率。
Objective To investigate the difference of expectant treatment time and pregnancy outcome between different types of early-onset severe preeclampsia (SPE). Methods A total of 116 patients with early-onset severe preeclampsia were enrolled, including 94 patients with early-onset severe preeclampsia (observation group) and 22 patients with prehypertensive preeclampsia (control group). The expectant treatment time and pregnancy outcome were compared between the two groups. Results The age of the control group was higher than that of the observation group. The incidence of fetal growth restriction, systolic blood pressure and diastolic blood pressure in the observation group were significantly better than those in the control group (P <0.05). The expected treatment time (P <0.05). The incidence of pulmonary edema and hypoalbuminemia in the observation group was significantly higher than that in the control group (P <0.05). Conclusions The expectant treatment time in patients with early-onset severe preeclampsia is significantly shorter than that in patients with chronic hypertension and early-onset severe preeclampsia. In the process, close monitoring of pregnant women and timely termination of pregnancy may reduce the incidence of perinatal mortality rate.