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目的:探讨早发型重度子痫前期终止妊娠时机对母儿预后的影响。方法:回顾性分析我院2004年1月~2011年12月收治的272例早发型重度子痫前期患者的临床资料,按终止妊娠孕周分为3组;A组≤32周80例,B组32周~34周92例,C组≥34周100例。结果 A、B、C 3组比较孕妇并发症发生率以A组最低,C组最高,但3组比较差异无统计学意义(P>0.05)。围生儿死亡率A组最高,与B组、C组相比,差异有统计学意义(P<0.05)。结论:早发型重度子痫前期患者终止妊娠时机直接影响母儿结局,适当的期待治疗有助于改善母儿预后。
Objective: To investigate the effect of premature termination of preeclampsia on the prognosis of pregnant women and children. Methods: The clinical data of 272 patients with early-onset severe preeclampsia who were treated in our hospital from January 2004 to December 2011 were retrospectively analyzed. The patients were divided into 3 groups according to the gestational age of termination of pregnancy. Group A was 80 Group 32 to 34 weeks 92 cases, C group 34 cases of 100 cases. Results The incidences of complications of pregnant women in group A, B and C were the lowest in group A and the highest in group C, but there was no significant difference between the three groups (P> 0.05). Perinatal mortality was the highest in group A, with a statistically significant difference from group B and group C (P <0.05). Conclusion: The timing of termination of pregnancy in patients with early-onset severe preeclampsia has a direct impact on the outcomes of both maternal and child. Appropriate expectant treatment will improve the prognosis of maternal and infant.