早发型重度子痫前期再次妊娠血压正常时的围生儿结局
姚秀芝
摘要(Abstract)：
目的探讨早发型重度子痫前期再次妊娠血压正常时的围生儿结局。方法对首次妊娠为重度子痫前期,根据首次发病孕周分为早发型重度子痫前期(孕周<34周)A组87例,晚发型重度子痫前期B组(孕周>34周)90例,而第二次妊娠血压均正常,观察围生儿结局。结果 A组新生儿小于育龄儿(SGA)发生率明显高于B组(14.9%vs 7.8%),差异具有统计学意义(P<0.01);A组早产率、胎儿宫内生长受限、剖宫产率明显高于B组,差异具有统计学意义(P<0.01)。结论早发型重度子痫前期再次妊娠时即使血压正常,也可能导致不良的妊娠结局,仍需密切观察减少SGA和早产儿的发生率,提高新生儿预后。
关键词(KeyWords)： 早发型重度子痫前期;晚发型重度子痫前期;再次妊娠;围生儿
基金项目(Foundation):
作者(Author): 姚秀芝
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