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目的了解重度子痫前期合并不同并发症对围生儿结局的影响。方法回顾性分析176例重度子痫前期患者的临床资料,按照合并并发症的种数分为重度子痫前期无并发症组(A组)、重度子痫前期合并一种并发症组(B组)、重度子痫前期合并两种或两种以上并发症组(C组)。对其一般资料、发病孕周、终止妊娠周数、胎儿生长受限发生率、新生儿窒息发生率、围生儿死亡发生率、新生儿体重进行比较。结果三组患者一般资料中,三组规律产检率有统计学差异(p<0.05),其余均无统计学差异(p>0.05)。各组不同发病孕周与终止妊娠周数人数分布不同,重度子痫前期合并并发症的发病孕周与终止妊娠周数明显早于无并发症组,有统计学差异(p<0.05)。围生儿结局中,各项均有显著的统计学差异(p<0.05),存活新生儿中,新生儿体重三组也具有统计学差异(p<0.05)。结论重度子痫前期并发症严重影响围生儿结局,并随着并发症的增多,围生儿结局就会越差。
Objective To understand the impact of complications of severe preeclampsia on perinatal outcome. Methods A retrospective analysis of 176 patients with severe preeclampsia clinical data, according to the number of complications were divided into severe preeclampsia without complications (group A), severe preeclampsia with a complication group (group B ), Severe preeclampsia with two or more complications (group C). The general information, the incidence of gestational weeks, the number of weeks of termination of pregnancy, the incidence of fetal growth restriction, the incidence of neonatal asphyxia, perinatal mortality, neonatal weight comparison. Results In the general data of three groups of patients, the regularity of the three groups was statistically significant (p <0.05), the rest were no significant difference (p> 0.05). There was a significant difference in the number of gestational age and the number of gestational weeks in each group. The number of gestational weeks and terminated gestational weeks in patients with severe preeclampsia was significantly earlier than that without complications (p <0.05). Perinatal outcome, there was a significant statistical difference (p <0.05), the survival of newborns, newborns weight three groups also had statistical significance (p <0.05). Conclusion Severe preeclampsia complications seriously affect the outcome of perinatal children, and with the increase of complications, perinatal outcome will be worse.