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目的评价CT在重度子痫前期期待治疗中的指导意义。方法随机选择重度子痫前期患者40例,用CT机对头颅进行扫描,根据有无颅内病变分为实验组与对照组,实验组再随机分为A、B两个实验组,A组予以立即终止妊娠,B组和对照组予以期待疗法。对两个实验组及对照组的孕产妇并发症的发生率、终止妊娠的时间、围产儿结局等进行比较。结果⑴实验组和对照组相比,实验组中A组与B组相比,孕产妇并发症的发生率(子痫、视网膜脱落、心功能不全、肾功能受损、HELLP综合征、胎盘早剥、DIC)有显著性差异(P<0.05)。⑵实验组与对照组相比,实验组中A组与B组相比,围产儿结局(体重、FGR、新生儿窒息、胎死宫内、新生儿死亡)无显著性差别(P>0.05)。结论头颅CT检查有助于发现颅内病变,对于指导诊断及治疗具有重要价值,不仅可挽救母婴生命,同时能改善围产期结局,减少神经系统后遗症。
Objective To evaluate the guiding significance of CT in the treatment of severe preeclampsia. Methods Forty patients with severe preeclampsia were randomly selected. The skull was scanned by CT. According to the presence or absence of intracranial lesions, the experimental group and the control group were randomly divided into A and B experimental groups. A group Immediate termination of pregnancy, B and control group to be expected treatment. The incidences of maternal complications, termination of pregnancy, and perinatal outcomes were compared between the two experimental and control groups. Results (1) Compared with the control group, the incidence of maternal complications (eclampsia, retinal detachment, cardiac insufficiency, impaired renal function, HELLP syndrome, placenta previa Pearson, DIC) had significant difference (P <0.05). Compared with the control group, there was no significant difference in the perinatal outcome (body weight, FGR, neonatal asphyxia, fetal death and neonatal death) between experimental group and control group (P> 0.05) . Conclusion CT examination of craniocerebral is helpful to detect intracranial lesions and is of great value in guiding diagnosis and treatment. It not only can save the life of mother and infant, but also improve perinatal outcome and reduce nervous system sequelae.