目的:探讨早发型重度子痫前期期待治疗对妊娠结局的影响。方法:将该院收治的130例早发型重度子痫前期患者分为A、B、C 3组,3组均行解痉和镇静以及降压等常规保守治疗,而B组和C组则在此基础上加用地塞米松,并分别就3组患者的并发症发生情况、胎儿及新生儿情况等相关临床指标进行比较分析。结果:3组胎儿窘迫和胎死宫内以及新生儿窒息和新生儿死亡的发生率随着孕周的延长而下降,差别均具有统计学意义(P<0.05),B组患者期待治疗时间较A组和C组明显延长,差别具有统计学意义(P<0.05);3组患者终止妊娠周期比较差别亦具有统计学意义(P<0.05)。讨论:早发型重度子痫前期适当进行期待治疗,对于母婴预后的改善及其相关并发症的减少均具有积极的现实意义。 Objective: To investigate the effect of expectant treatment of early onset severe preeclampsia on pregnancy outcome. Methods: A total of 130 early-onset severe preeclampsia patients admitted to the hospital were divided into A, B, and C groups. The three groups were given conventional conservative treatment such as antispasmodic and sedation and antihypertensive treatment, while those in group B and C On this basis, dexamethasone was added, and the complication of the three groups of patients, fetal and neonatal conditions and other related clinical indicators were compared and analyzed. Results: The incidences of fetal distress, intrauterine fetal death, neonatal asphyxia and newborn death decreased with gestational age in three groups (P <0.05). The treatment time in group B was longer than expected A group and C group were significantly longer, the difference was statistically significant (P <0.05); 3 groups of patients with the difference between the termination of pregnancy also had statistical significance (P <0.05). Discussion: Premature onset severe preeclampsia suitable for treatment, for the improvement of maternal and child prognosis and reduce the related complications have a positive and practical significance.