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目的:探讨子痫患者的临床特点及分娩时机的选择对围生儿的影响。方法:回顾性分析2003年1月～2007年12月本院68例子痫患者的临床资料,比较分娩时孕周、子痫抽搐后终止妊娠的时间与新生儿窒息及围生儿死亡的关系。结果:子痫发生率1.84‰,以产前子痫为主占77.94%,其中未进行系统产前检查者占91.17%,外来务工人员占85.29%。<34周终止妊娠新生儿重度窒息率、围生儿死亡率显著增加(P<0.05)。抽搐控制后越早终止妊娠新生儿重度窒息率越低,抽搐控制后越早终止妊娠围生儿的死亡率越低(P<0.05)。抽搐控制12h后终止妊娠,围生儿死亡率增加(P<0.05)。结论:建立完善的保健体制,进行系统的产前检查,早期发现、早期治疗是降低子痫发生率及母体并发症的关键所在。子痫抽搐控制后及时终止妊娠,可有效降低新生儿重度窒息率、围生儿死亡率,同时提高早产儿生存率也是降低围生儿死亡率、改善围生儿预后的关键。
Objective: To investigate the clinical characteristics of eclampsia patients and the timing of childbirth on the impact of perinatal children. Methods: The clinical data of 68 patients with eclampsia from January 2003 to December 2007 were retrospectively analyzed. The gestational age at childbirth, the time of termination of pregnancy after eclampsia and the relationship between neonatal asphyxia and perinatal death were compared. Results: The incidence of eclampsia was 1.84 ‰, preterm preeclampsia accounted for 77.94%, of which 91.17% were without systematic prenatal examination and 85.29% were migrant workers. Severe asphyxia in infants <34 weeks after termination of pregnancy, and perinatal mortality increased significantly (P <0.05). The sooner the seizure control terminates the pregnancy, the lower the neonatal asphyxia rate is. The sooner the seizure control is terminated, the lower the perinatal mortality rate (P <0.05). Convulsive termination of pregnancy after 12h, perinatal mortality increased (P <0.05). Conclusion: Establishing a perfect health care system, conducting systematic prenatal examination, early detection and early treatment are the keys to reducing the incidence of eclampsia and maternal complications. Epileptic seizures and timely termination of pregnancy after pregnancy, can effectively reduce the neonatal severe asphyxia, perinatal mortality, while improving the survival rate of premature children is also to reduce perinatal mortality and improve the prognosis of perinatal key.