周红辉, 卢彦平, 高志英, 付晓宇. 系统性红斑狼疮患者妊娠时机选择与妊娠结局[J]. 解放军医学院学报, 2012, 33(4): 359-361. DOI: CNKI:11-3275/R.20111229.1011.002
引用本文: 周红辉, 卢彦平, 高志英, 付晓宇. 系统性红斑狼疮患者妊娠时机选择与妊娠结局[J]. 解放军医学院学报, 2012, 33(4): 359-361. DOI: CNKI:11-3275/R.20111229.1011.002
ZHOU Hong-hui, LU Yan-ping, GAO Zhi-ying, FU Xiao-yu. Selection of pregnant time in patients with systemic lupus erythematosus and their pregnant outcome[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2012, 33(4): 359-361. DOI: CNKI:11-3275/R.20111229.1011.002
Citation: ZHOU Hong-hui, LU Yan-ping, GAO Zhi-ying, FU Xiao-yu. Selection of pregnant time in patients with systemic lupus erythematosus and their pregnant outcome[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2012, 33(4): 359-361. DOI: CNKI:11-3275/R.20111229.1011.002

系统性红斑狼疮患者妊娠时机选择与妊娠结局

Selection of pregnant time in patients with systemic lupus erythematosus and their pregnant outcome

  • 摘要: 目的 探讨系统性红斑狼疮(SLE)患者妊娠时机的选择与妊娠结局的相关性。 方法 回顾性分析2005年1月-2011年7月我院收治的33例SLE合并妊娠患者临床资料,根据妊娠时机分为孕前持续缓解期(A组)和活动期(B组),比较两组孕期并发症及母婴结局。 结果 A组20例中,孕期发生严重并发症者6例(30.0%),足月终止妊娠10例,早产7例,治疗性引产2例,胎死宫内1例,无孕产妇死亡,无新生儿畸形;B组13例中,孕期发生严重并发症11例(84.6%),早产8例,治疗性引产3例,胎死宫内2例。B组孕期发生严重并发症几率增加,妊娠丢失率及早产率高,早产新生儿体重轻,差异有统计学意义(P<0.05)。 结论 SLE患者选择病情持续稳定期计划妊娠,孕期严格监测、合理调整用药、适时终止妊娠是减少SLE患者孕期并发症以及改善母婴结局的关键。

     

    Abstract: Objective To study the correlation between selection of pregnant time in patients with systemic lupus erythematosus(SLE) and their pregnant outcome. Methods Clinical data about 33 pregnant SLE patients admitted to our hospital from January 2005 to July 2011 were retrospectively analyzed.The patients were randomly divided into persistent SLE remission group(Group A,n=20) and active SLE group(Group B,n=13) according to their pregnant time.Complications and pregnant outcomes were compared between the two groups. Results Severe complications occurred in 6(30%) out of the 20 patients in group A,with full-term delivery,premature delivery,therapeutic abortion,and fetal death in 10,7,2,and 1 patients respectively,no death of pregnant and parturient women,and no deformity of neonates.Severe complications occurred in 11(84.6%) out of the 13 patients in group B,with premature delivery,therapeutic abortion,and fetal death in 8,3 and 2 patients respectively.The incidence of complications,the fetal loss and the premature delivery rate were significantly higher while the body weight of neonates was significantly lower in group B than in group A(P<0.05). Conclusion SLE patients should have pregnancy when their SLE is stable.Careful monitoring,rational use of drugs,and termination of pregnancy are the keys to decreasing the incidence of complications during pregnancy and improving the outcomes of both mothers and infants.

     

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