| 摘要: |
| ［摘要］ 目的 分析早发型重度子痫前期孕妇定期孕检对围生结局母儿的影响。方法 回顾性分析该院2012-07～2015-05收治的90例早发型重度子痫前期孕妇，根据是否接受定期孕检分为观察组和对照组各45例。对照组入院前未进行定期孕检未接受临床治疗。观察组入院前定期孕检并接受临床治疗。于孕妇终止妊娠后观察两组围生结局与孕妇并发症发生情况。结果 观察组新生儿窒息、死亡、胎死宫内的发生率分别为4.4%、2.2%和4.4%，低于对照组的20.0%、20.0%和24.4%（P<0.05）；观察组孕妇的并发症子痫、肾功能损伤、胎盘早剥的发生率分别为2.2%、6.7%和2.2%，低于对照组的13.3%、31.1%和13.3%（P<0.05）。但两组产后出血、肝功能损害发生率差异无统计学意义（P>0.05）。结论 对早发型重度子痫前期孕妇进行入院前定期孕检，可有效降低围产儿发生窒息、死亡、胎死宫内的概率，降低孕妇部分并发症的发生率。 |
| 关键词: 早发型重度子痫前期 定期孕检 母儿影响 |
| DOI：10.3969/j.issn.1674-3806.2017.12.16 |
| 分类号:R 714 |
| 基金项目: |
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| Effects of prenatal routine examination on perinatal outcomes in parturients with early onset severe preeclampsia |
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HUANG Li-jun
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Department of Obstetrics, the Second People′s Hospital of Shantou City, Guangdong 515011, China
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| Abstract: |
| ［Abstract］ Objective To analyze the effects of prenatal routine examination on perinatal outcomes in parturients with early onset severe preeclampsia.Methods Ninety parturients with early onset severe preeclampsia were collected in our hospital from July 2012 to May 2015, and were divided into the observation group and the control group according to whether or not they received prenatal routine examination, with 45 cases in each group. The control group did not receive any prenatal routine examination and clinical treatment before admission to the hospital. The observation group received prenatal routine examination and clinical treatment before admission. The clinical data were retrospectively analyzed in the two groups and their perinatal outcomes were compared.Results The incidences of neonatal asphyxia, neonatal death and intrauterine death in the observation group were significantly lower than those in the control group(4.4% vs 20.0%, 2.2% vs 20.0%, 4.4% vs 24.4%)(P<0.05). The incidences of the complications of preeclampsia, renal damage, placental abruption in the observation group were significantly lower than those in the control group(2.2% vs 13.3%, 6.7% vs 31.1%, 2.2% vs 13.3%)(P<0.05). There were no significant differences in the incidences of postpartum hemorrhage and hepatic function damage between the two groups(P>0.05).Conclusion Prenatal routine examinations before hospitalization can effectively reduce the incidences of perinatal asphyxia, neonatal death, intrauterine death and maternal complications in the parturients with early onset severe preeclampsia. |
| Key words: Early onset severe preeclampsia Prenatal routine examination Effect on parturients and newborns |
