Durán Nah J J, Couoh Noh J
Unidad de Cuidados Intensivos del Hospital General O'Horán, Mérida, Yucatán.
Ginecol Obstet Mex. 1999 Dec;67:571-7.
The objective was to describe the epidemiology of preeclampsia-eclampsia (P-E) at the Hospital General O'Horán (HGOH) in Mérida, Yucatán, México, from 1995 to 1998. Patients with a discharge diagnosis of P-E were included. Their demographic and clinical data were ascertained. To analyze information, descriptive statistics were used. There were 143 patients. Preeclampsia was documented in 41% and eclampsia in 59%. The mean age of the group was 24.4 +/- 7.3 years. It was found that 76% came from rural area. In 79% schooling was no more than elementary education. Seventy five per cent were married. Sexual life began at a mean age of 18.8 +/- 4.3 years. There was no prenatal care in 27% of the cases. Fifty five per cent were primigravida and 43% multigravida. Nuliparity was documented in 52%. Two o more parities were documented in 48%. Complications were seen in 30%. Overall mortality rate was 5%, more frequent eclamptic patients. At the HGOH, P-E was frequently documented in women with both low socioeconomic status and fewer years of schooling. Prenatal care was also irregular. Clinical evolution was satisfactory in most of them, and the mortality rate was low, although it usually occurred in young eclamptic women.
目的是描述1995年至1998年在墨西哥尤卡坦州梅里达市奥霍兰综合医院（HGOH）先兆子痫-子痫（P-E）的流行病学情况。纳入出院诊断为P-E的患者。确定其人口统计学和临床数据。为分析信息，采用描述性统计方法。共有143例患者。记录为先兆子痫的占41%，子痫的占59%。该组患者的平均年龄为24.4±7.3岁。发现76%来自农村地区。79%的人受教育程度不超过小学。75%已婚。开始性生活的平均年龄为18.8±4.3岁。27%的病例未接受产前护理。55%为初产妇，43%为经产妇。记录为未生育的占52%。记录为有两次或更多次生育的占48%。30%出现并发症。总体死亡率为5%，子痫患者中更常见。在HGOH，社会经济地位低且受教育年限少的女性中P-E记录频繁。产前护理也不规律。大多数患者的临床进展令人满意，死亡率低，尽管通常发生在年轻的子痫女性中。
