Oral Progesterone To Bend Adjuvant Treatment Of Early Onset Severe Preeclampsia-34Cases Of Clinical Observation

Objective: To observe the oral progesterone flexion (duff tong)auxiliary treatment the clinical effect of early onset severe preeclampsia.Methods: April,2010to December2012china-japan union hospitalof Jilin university，childbirth pregnant woman34cases of pregnancyhypertension, observation group (oral flexor progesterone group) andcontrol group (group did not suit to bend progesterone)(n=17).2011.082012.12as observation group,2010.04-2011.07in the control group. Twogroups in age, gestational age, there was no significant difference ofcondition, comparable. Compare two groups of monitoring and treatment:blood pressure and edema degree of ease, termination of pregnancy, thenumber of weeks, neonatal survival condition and weight delivery weeks.Using t test statistical analysis to P <0.05for the difference wasstatistically significant.Results: Observation group of pregnant women after treatment ofblood pressure after admission control in130-160/80-110MMHG,self-conscious symptom (headache, dizziness, giddiness, things are notclear, the right epigastric discomfort, etc.) significantly reduce,hypoalbuminemia, urine protein and the degree of edema on admissionhas also improved significantly, the observation group termination ofgestation weeks pregnant woman of29to37weeks (an average of34weeks+), prolong the gestational weeks3to14weeks (average5weeks+), live birth after15people (11stillbirth and neonatal death), averageweight1750g; Control group pregnant women blood pressure afteradmission range in140-220/90-140MMHG, self-conscious symptom(headache, dizziness, giddiness, things are not clear, the right epigastric discomfort, etc.) have no obvious improvement, hypoalbuminemia, urineprotein and no improve edema degree, the control group termination ofgestation weeks pregnant for26to33weeks (an average of29weeks+),1-4weeks (average1week+), live birth after4people (7people deadthree people, induced labor, neonatal death3people), the average weight1200g.Conclusion:1、The observation group (that is, add to the flexor progesteronepregnant women group of early onset severe preeclampsia) after reliefdrugs have reduced blood pressure and relatively stable; Flexor and thecontrol group (i.e., not suit to progesterone pregnant women group ofearly onset severe preeclampsia) no decrease blood pressure andfluctuation range is big.2、Observation group after supplement protein and diuretic treatmenthypoalbuminemia, reduce urinary protein, edema, and self-conscioussymptom significantly reduce; The control group without ease symptoms,signs and the gradually worsenc.3、Observation group to extend gestational age, an average of morethan7weeks control prolong gestational age up to4weeks.4、Observation group of neonatal survival rate is high (15/17),control group neonatal survival rate only (4/17).To sum up, add to the flexor progesterone is used for auxiliarytreatment of early onset severe preeclampsia significantly improvepregnancy outcome, is of clinical significance.