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目的:回顾分析1993年1月至1999年1月于我院分娩的先兆子(疒间)患者163例,评价先兆子(疒间)的适宜分娩时机。方法:按分娩孕周分为32～36~(+6)(未足月)及≥37周(足月)两组,分别比较两组的刮宫产率、新生儿存活率、窒息率以及低体重儿和胎窘的发生率。结果:未足月者及足月者两组的剖宫产率分别为93.85%、85.71%,二者差别无统计学意义(P>0.05)。未足月者新生儿平均出生体重2173g,低于足月者3130g(P<0.05),低体重儿发生率36.76%,高于足月者8.82%(P<0.05)。两组新生儿窒息率分别为8.82%、9.80%,存活率分别为94.12%、99.02%,均无显著性差异(P>0.05),而足月者胎窘发生率为25.49%,高于未足月者的11.76%(P<0.05)。结论:对先兆子(疒间)在积极治疗效果欠佳者,为避免严重的母儿并发症,终止妊娠时机可提前至32周,分娩方式首选剖宫产。
OBJECTIVE: To retrospectively analyze 163 cases of pre-eclampsia in our hospital from January 1993 to January 1999 to evaluate the appropriate timing of pre-eclampsia. Methods: According to gestational age of childbirth, the patients were divided into two groups: 32 ~ 36 ~ (+6) (full month) and ≥37 weeks (full term). The rates of curettage, neonatal survival, asphyxia and low The incidence of weight and fetal distress. Results: The rate of cesarean section was 93.85% and 85.71% in both term and term groups, respectively. There was no significant difference between the two groups (P> 0.05). The average birth weight of newborn infants was 2173g, which was lower than 3130g (P <0.05). The incidence of low birth weight infants was 36.76%, higher than that of full - term infants (8.82%, P <0.05). The rates of neonatal asphyxia were 8.82% and 9.80% respectively in the two groups, the survival rates were 94.12% and 99.02% respectively, there was no significant difference (P> 0.05), while the full-term fetal distress rate was 25.49% 11.76% of full-term (P <0.05). Conclusion: For those who have poor prognosis in preeclampsia, in order to avoid severe maternal and child complications, the timing of termination of pregnancy can be advanced to 32 weeks. The cesarean section is the preferred mode of delivery.