Monitor Blood Plasma Colloid Osmotic Pressure To Preeclampsia Patient's Clinial Sense

Objective:To investigate monitor blood plasma colloid osmotic pressure to preeclampsia patient's clinical application, thus improves the maternal infant prognosis, provides the new mentality for its early screening and the diagnosis. Methods:The non-randomized controlled trial research in march 2009 to September 2010 delivery of 845 hospitalized cases of maternal preeclampsia, in which delivery of pregnant women with colloid osmotic pressure<14mmHg 119 patients(A group), with 14mmHg≤colloid osmotic pressure< 18mmHg 309 cases (B group), with colloid osmotic pressure≥18mmHg 417 patients(C group), the three groups carried out a comparative analysis of general situation, maternal timing and perinatal outcomes. Results:1. A group of,multiple pregnancies, premature birth rate, low birth weight and perinatals mortality and cesarean section rate were significantly higher than the group B and C, in the regular production inspection and birth weight significantly lower than the group B and C, has statistically significant (p< 0.05), but between the two groups B and C above aspects were not statistically significant (p> 0.017).2. A group of total protein, albumin were significantly lower than than the group B and C, comparative differences are statistically significant (p< 0.05), between the two groups B and C difference was statistically significant (p< 0.017); 24 hours urinary protein quantitative, appear bosom water and input albumin number is obviously higher than the group B and C, the difference was statistically significant comparative (p< 0.05), between the two groups B and C difference was statistically significant (p< 0.017); Conclusion:1.When plasma colloid osmotic pressure is reduced to 14mmHg below, has the poor impact on maternal and child health, through dynamic monitoring of plasma colloid osmotic pressure, can early detection and intervention,to guide the clinic.2. Plasma colloid osmotic pressure can be used as an obstetrician clinical monitoring index, especially in patients with preeclampsia, implement intervention timely, can prevent mild pre-eclampsia and severe pre-eclampsia to the transtermation, May prevent the eclampsia preliminary patient condition development, then improve maternal and infant perinatal outcomes.