Retrospective Study of Clinical Factors Correlated to Eclampsia
- VernacularTitle:子痫发生相关因素的探讨
- Author:
Ping, WANG
;
Jianhua, LIU
- Publication Type:Journal Article
- Keywords:
eclampsiapregnancy－ induced hypertension syndrome antenatal caremagnesium sulphateauras
- From:Journal of Shanghai Jiaotong University(Medical Science)
2000;20(6):518-520
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical factors correlated to eclampsia.MethodsPregnant women with pregnancy－ induced hypertension syndrome (PIH) in 5 years were retrospectiv-ely studied. The relations between eclampsia and prenatal care, PIH degree and the dose of magnesiumsulphate used were evaluated, as well as the eclarnptic aural symptoms and their occurring time. Re-sults The incidence of eclampsia in pregnant women was 0.56 %, and 8.33 % in the PIH cases. Eclamp-sia was significantly correlated to antenatal care. The incidence of eclempsia in cases with moderate andsevere PIH were higher than that with wild PIH. Less than 15g magnesium sulphate (MgSO4) used perday in moderate and severe PIH cases had an eclampsia incidence rate as high as 20.00 %. And the inci-dence in the mild PIH cases was comparatively lower, but still as high as 6.19%. Aural symptoms al-ways appeared prior to eclampsia. Almost all eclampsia cases had the aura within 24h prior to the attack.ConclusionProper and effective antenatal care was of great importance in the prevention of the eclamp-sia. In moderate and severe PIH the eclampsia incidence was higher, but could be decreased by the pro-per use and sufficient amount of MgSO4. It should be emphasized that mild PIH could still develop intoeclampsia. All eclampsia cases had aura which must be paid attention to in PIH cases.
