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妊娠合并系统性红斑狼疮33例临床分析

张群 林惠文

国际医药卫生导报2012,Vol.18Issue(21):3133-3136,4.
国际医药卫生导报2012,Vol.18Issue(21):3133-3136,4.DOI:10.3760/cma.j.issn.1007-1245.2012.21.017

妊娠合并系统性红斑狼疮33例临床分析

A clinical analysis on pregnancy with systemic lupus erythematosus in 33 women

张群 1林惠文2

作者信息

  • 1. 529000 江门市中心医院妇产科
  • 2. 529000 江门市中心医院急诊科
  • 折叠

摘要

Abstract

Objective To investigate the clinical characteristics,treatment,and pregnancy outcomes in pregnant women with systemic lupus erythematosus(SLE).Methods The clinical data on 33 pregnant women with SLE were retrospectively reviewed to analyse the changes and outcomes of pregnancy,including 19 selective pregnancy(selective group)and 14 non-selective pregnancy(non-selective group).Results SLE aggravated in 9(47.4%)pregnant women in the selective group,which included 4 fetal loss(21.1%).SLE aggravated in 12(85.7%)pregnant women in non-selective group,which included 11 fetal loss(78.5%).Rate of pregnancy loss was higher in selective group than in non-selective group(P<0.05).15 of the 33(45.45%)patients developed obstetrics complications and 12(36.3%)developed lupus nephritis.Conclusions Patients with SLE should be under instruction by obstetricians and rheumatologists for preparing pregnacy.Those women should get pregnant during remission of SLE.Fetal and maternal monitoring should be fstrenghtened and pregnancy should be terminated properly.Attention should be paid to puerperium care and contraception

关键词

妊娠/系统性红斑狼疮/狼疮肾炎

Key words

Pregnancy/Systemic lupus erythematosus/Lupus nephritis

引用本文复制引用

张群,林惠文..妊娠合并系统性红斑狼疮33例临床分析[J].国际医药卫生导报,2012,18(21):3133-3136,4.

国际医药卫生导报

1007-1245

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