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子痫前期合并胎儿生长受限的母儿妊娠结局分析

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目的 探究子痫前期合并胎儿生长受限的母儿妊娠结局。方法 选取2020年7月—2023年6月广西桂林市妇幼保健院产科收治的100例子痫前期患者实施回顾性分析,根据患者是否合并胎儿生长受限分组:未合并者是单一组,共计50例;合并者是合并组,共计50例。两组患者均在确诊子痫前期后实施期待治疗,统计两组胎儿生长情况、产妇并发症率、围生儿不良结局。结果 单一组、合并组的胎儿生长情况比较无显著差异(P>0。05),单一组产妇并发症率小于合并组(P<0。05),单一组产妇围生儿不良结局发生率小于合并组(P<0。05)。结论 子痫前期合并胎儿生长受限危害性大,会升高产妇并发症率、围生儿不良结局发生率,确诊后需尽快实施期待治疗,并定时检查,以尽可能延长妊娠时间,改善母婴结局。
Analysis of Maternal and Fetal Pregnancy Outcomes of Preeclampsia Combined with Fetal Growth Restriction
Objective To explore pregnancy outcomes of preeclampsia combined with fetal growth restriction.Methods The paper reviewed and analyzed 100 patients with preeclampsia in obstetrics and gynecology department of Guilin City Maternal and Child Health Hospital from July 2020 to June 2023,and divided them into groups based on having fetal growth restriction or not.Those without fetal growth restriction were included in single group,totaling 50 cases,50 cases with fetal growth restriction were included in combined group.Both groups were treated with expectant therapy after diagnosis of preeclampsia,fetal growth,maternal complication rates,and adverse perinatal outcomes were recorded for two groups.Results There was no significant difference in fetal growth between single group and combined group(P>0.05).Incidence of complications in single group was lower than combined group(P<0.05),and incidence of adverse perinatal outcomes in single group was lower than combined group(P<0.05).Conclusion Preeclampsia combined with fetal growth restriction has significant risk,can increase incidence of maternal complications and adverse perinatal outcomes.After diagnosis,expectant treatment and scheduled examinations should be carried out as soon as possible to prolong pregnancy time and improve maternal and infant outcomes.

PreeclampsiaFetal growth restrictionTreatment expectationFetal growth statusMaternal complication ratePerinatal adverse outcomes

罗小金、施艳、吕小娟、董完秀、宾立燕

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广西桂林市妇幼保健院 产科,广西 桂林 541001

子痫前期 胎儿生长受限 期待治疗 胎儿生长情况 产妇并发症率 围生儿不良结局

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(16)