摘要
目的：探讨重度妊娠高血压综合征（好高征）发生时间与母儿预后的关系。方法：将１４４例重度妊高征孕产妇的１５３例围产儿分成４组进行临床分析。结果：３３孕周前发病组围产儿死亡率、新生儿窒息率、低于孕龄儿发生率明显高于其他组（Ｐ＜０．０１）。胎龄在３２孕周前终止妊娠者，剖宫产并未改善预后。结论：重度妊高征发生越早，围产儿预后越差，孕妇并发症增加。保守治疗并不能改善其预后。病情严重者，在３２～３３孕周宜短期治疗，同时促胎肺成熟，适时终止妊娠。
Objective:To study the relationship between the onset of severe pregnancy induced hyper- tension(PIH)and perinatal infants.Methods:l44 pregnant wornen suffering from severe PIH and l53 perinatal infants were enrolled for study They were divided into 4 groups.Results:The perinatal mor- tality rate and neonatal asphyxia rate as well as the small gestational age rate were higher in the group in which severe PIH occurred before 33 weeks of gestation than in the other groups(P<0. 0l).Ce sarean section could not improve the outcome of perinatal infants,Severe mathernal complications in- creased significantly.Concluslon:These observations suggest that the earlier the onset,the poorer the outcome.The outcome could not be improved by conservative managernent.In severe PIH cases of 32～ 33 weeks of gestation,pregnancy might be terminated in due time after a short period of conservative therapy and promoting fetal lung maturation.
出处
《北京医科大学学报》
CSCD
1996年第4期298-300,共3页
Journal of Peking University(Health Sciences)
关键词
预后
妊娠高血压
综合征
发病时间
Headings Gestosis
EPH/epidemiol
Infant,newborn,diseases/epiderniol
Prognosis
