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目的探讨重度子痫前期期待治疗的可行性及临床意义以及对妊娠结局的影响。方法对2008年1至2011年1月收治的40例重度子痫前期患者应用期待治疗,分析治疗时间的选择及对妊娠结局的影响,以期对指导临床提供帮助。结果重度子痫前期患者期待治疗后新生儿体重、胎儿生长受限、新生儿及围产儿死亡率明显改善,差异有统计学意义(P<0.05);而期待治疗时间及终止妊娠孕周两组比较差异有统计学意义(P<0.05)。结论重度子痫前期严重影响妊娠结局,子痫前期发生的时间越早,并发症的发生率及严重程度也随之增加,围生儿的预后与发病孕周及孕龄有着重要的相关性,因此适当的期待治疗有助于改善围产儿预后。
Objective To investigate the feasibility and clinical significance of expectant treatment of severe preeclampsia and its effect on pregnancy outcome. Methods Forty patients with severe preeclampsia treated from January 2008 to January 2011 were treated with expectant treatment, and the choice of treatment time and the effect on pregnancy outcome were analyzed in order to provide guidance for clinical practice. Results Severe preeclampsia expectant treatment of neonatal body weight, fetal growth restriction, neonatal and perinatal mortality significantly improved, the difference was statistically significant (P <0.05); while the expected treatment time and termination of gestational gestational age groups The difference was statistically significant (P <0.05). Conclusion Severe preeclampsia has a serious impact on the outcome of pregnancy. The earlier the preeclampsia occurs, the more the incidence and severity of complications increase. The prognosis of perinatal children has an important correlation with the incidence of gestational age and gestational age. Therefore, the appropriate expectations of treatment will help to improve perinatal outcome.