摘要
目的探讨重度子痫前期孕妇发生不良妊娠结局的相关危险因素。方法回顾性分析2012年6月至2013年6月在汕头大学医学院第一附属医院住院分娩的重度子痫前期孕妇122例临床资料,按妊娠结局分为不良妊娠结局组27例和良好妊娠结局95例。结果①一般资料:两组孕妇妊娠终止孕周及入院时舒张压比较,差异有统计学意义(P<0.05)。②相关实验室检查结果比较:不良妊娠结局组尿蛋白定量明显高于良好妊娠结局组,差异有统计学意义(P<0.05)。不良妊娠结局组的血小板计数明显低于良好妊娠结局组,而红细胞压积却明显低于良好妊娠结局组,差异均有统计学意义(P<0.05)。不良妊娠结局组的丙氨酸氨基转移酶(ALT),血尿素氮(BUN)的水平均明显高于良好妊娠结局组,差异有统计学意义(P<0.05)。③出现不良妊娠结局的危险因素分析:孕妇入院时舒张压越高(OR值2.13),终止妊娠时孕周越早(OR值0.42),血小板计数越低(OR值0.78),与不良妊娠结局的相关。结论重度子痫前期孕妇入院时舒张压,终止妊娠时孕周,血小板计数是判定出现不良妊娠结局的高危因素,可以指导临床医生适时终止妊娠。
Objective To study the severe preeclampsia women the related risk factors for adverse pregnancy outcomes.Methods A retrospective analysis in June 2012 to June 2013 in the first affiliated hospital of shantou university medical college hospital childbirth of severe preeclampsia in pregnant women,122 cases of clinical data,according to the pregnancy outcome in adverse pregnancy outcome groups 27 cases and 95 cases of good pregnancy outcome.Results ① General information：two groups of pregnant women to terminate pregnancy gestational age and diastolic blood pressure on admission to compare,the difference was significant （P＜0.05）.②The relevant laboratory results comparison：urine protein quantitative adverse pregnancy outcome group was obviously higher than that of good pregnancy outcome group,the difference was significant（P＜0.05）.Adverse pregnancy outcomes of the platelet count was lower than that in group a good pregnancy outcomes,and the red blood cells deposited is significantly lower than the good pregnancy outcome groups,differences were significant （P＜0.05）.Adverse pregnancy outcomes group of alanine aminotransferase （ALT）,blood urea nitrogen （BUN） level were significantly higher than that of group good pregnancy outcome,the difference was significant （P＜0.05）.③ A risk factor for adverse pregnancy outcomes analysis：pregnant women on diastolic blood pressure,the higher value （OR=2.13）,termination of pregnancy when early pregnancy （OR=0.42）,the lower the platelet count （OR=0.78）,is associated with adverse pregnancy outcomes.Conclusion Severe preeclampsia women diastolic blood pressure on admission,termination of pregnancy gestational age,the platelet count is to determine the risk factors of adverse pregnancy outcome,can guide clinicians timely termination of pregnancy.
出处
《中国实验诊断学》
2014年第3期403-405,共3页
Chinese Journal of Laboratory Diagnosis
