子痫前期合并胎儿生长受限的母儿妊娠结局分析

发布时间：2018-02-22 09:38

本文关键词： 子痫前期胎儿宫内生长受限妊娠结局期待治疗　出处：《现代妇产科进展》2017年11期 　论文类型：期刊论文

【摘要】：目的:探讨子痫前期(PE)合并胎儿宫内生长受限(FGR)的母儿结局。方法:选取591例PE孕妇,按新生儿出生体重分为小于胎龄儿组(SGA组,95例)和适于胎龄儿组(AGA组,496)。随访母体妊娠结局和新生儿结局。结果:与AGA组孕妇相比,SGA组孕妇的胎盘早剥发生率增加,因胎儿窘迫行剖宫产的比率增加(P0.05),新生儿病房收治率增加,住院时间延长,差异均有统计学意义(P0.05);其他孕妇严重并发症包括重度高血压、肺水肿、肾功能异常和HELLP综合征发生率,以及孕期和产后降压药和硫酸镁使用比率均无显著变化,差异无统计学意义。结论:PE合并FGR未导致除胎盘早剥之外母体严重不良妊娠结局的增加,但新生儿不良预后增加。
[Abstract]:Objective: to investigate the maternal and fetal outcomes of preeclampsia (PEP) combined with fetal intrauterine growth restriction (FGR). Methods: 591 cases of PE pregnant women were selected. According to the birth weight of the newborn, 95 cases were divided into two groups: the small gestational age group (SGA group, 95 cases) and the suitable gestational age group (AGA group, n = 496). The maternal pregnancy outcome and the neonatal outcome were followed up. Results: compared with the AGA group, the incidence of placental abruption increased. Due to fetal distress, the rate of cesarean section was increased (P 0.05), the rate of neonatal ward admission was increased, the length of stay was prolonged, and the difference was statistically significant (P 0.05). Other serious complications of pregnant women included severe hypertension and pulmonary edema. There were no significant changes in the incidence of renal dysfunction and HELLP syndrome, as well as the rates of use of antihypertensive drugs and magnesium sulfate during pregnancy and postpartum. Conclusion: no significant difference was found in the maternal adverse pregnancy outcomes except placental abruption, but the poor prognosis of newborns was increased.
【作者单位】：复旦大学附属妇产科医院产科;
【基金】：国家自然科学基金项目(No:81571460);国家自然科学基金项目(No:81270712)
【分类号】：R714.244

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