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目的:探讨重度子痫前期及子痫孕妇围产儿结局与产前保健的关系。方法:回顾性分析10年来315例重度子痫前期及子痫孕妇和315例正常孕妇的产前检查和围产儿情况。结果:重度子痫前期及子痫孕妇组的IUGR发生率、新生儿窒息发生率和围产儿死亡率均高于正常妊娠组,差异均有统计学意义(P<0.05);重度子痫前期及子痫孕妇组产前检查次数低于正常妊娠组(P<0.01),重度子痫前期及子痫组有62.8%未做产前检查,高于正常妊娠组的11.4%。结论:重视和加强围产期保健,并普及到农村,可以减少和预防重度子痫前期及子痫,改善围产儿预后,提高新生儿质量。
Objective: To investigate the relationship between perinatal outcome and prenatal care in severe preeclampsia and eclampsia. Methods: A retrospective analysis of 315 cases of severe preeclampsia and eclampsia in pregnant women and 315 normal pregnant women prenatal care and perinatal conditions. Results: The incidence of IUGR, neonatal asphyxia and perinatal mortality in severe preeclampsia and eclampsia group were significantly higher than those in normal pregnancy group (P <0.05). Severe preeclampsia and The number of prenatal tests in pregnant women with eclampsia was lower than that in normal pregnant women (P <0.01), while 62.8% of women with severe preeclampsia and eclampsia had no prenatal examination, which was 11.4% higher than that of normal pregnant women. CONCLUSION: Paying attention to and strengthening perinatal care and spreading it to rural areas can reduce and prevent severe preeclampsia and eclampsia, improve the prognosis of perinatal children and improve the quality of neonates.