From February 2002 to February 2009, Peking University Third Hospital admitted with severe
preeclampsia 228 cases who were enrolled in this study. The form is divided into no
edema (A-type), pure interstitial
edema (B-type), a simple cavity gap
edema (C-type) and mixed interstitial
edema that coexist with lacunar
edema (D-type). Analysis and comparison of various types of
edema in patients with different clinical manifestations of
prenatal care models, laboratory parameters, the incidence of gestational age, complications and obstetric and perinatal outcomes, and analyze the relationship between different types of
edema and
albumins and the peak value of
proteinuria.
RESULTS:
Edema was seen in 86% (197/228) of all of cases. Compared the cases who have regular
prenatal care with those who have irregular care, differences were statistically significant in
edema type composition ratio (P < 0.01) and the incidence of serious complications (P < 0.01), and
serum albumin levels (P < 0.01), but not in the peak value of
proteinuria (P > 0.05); Compared early-onset PE and late-onset PE patients, differences were statistically significant in
edema type composition ratio (P < 0.01) and peak value of
proteinuria (P < 0.01), but not in
serum albumin levels and the incidence of serious complications (P > 0.05). Comparison between the various types of
edema, differences were statistically significant in
serum albumin levels and peak value of
proteinuria and incidence of serious complications and the gestational week at PE onset and the incidence of treatment
preterm labor (P < 0.05).Occurrence of
placental abruption,
heart failure and
HELLP syndrome had statistical significance in different types of
edema(P < 0.05). The varying degrees of interstitial
edema were correlated with
serum albumin levels (r = -0.19, P < 0.05) and serious complication occurrence (r = -0.232, P < 0.05), but no correlation displayed with the peak value of urinary
protein (P > 0.05).
CONCLUSIONS: