韶关市胎盘早剥5年发病情况的回顾性研究

Incidence of placental abrapion and the effects on mother and fetus in Shaoguan during 2005-2009

目的：调查韶关市近5年来胎盘早剥的发病情况及其妊娠结局.方法：回顾性分析韶关市6所医院2005年-2009年间胎盘早剥病例.结果：40800例住院分娩孕妇中,胎盘早剥102例,发生率2.50‰,主要诱因是妊娠期高血压疾病,占46.08%,其次为胎膜早破、机械性因素和羊水过多.产妇产后出血发生率27.45%,弥散性血管内凝血7.84%,子宫切除3例,围产儿死亡9例,发生率8. 82%.结论：加强孕产期保健宣教,减少发病的高危因素,有望改善围生期母婴结局.

Objective To investigate the incidence and risk factors of placental abrupion （PA） in Shaoguan during 2005 - 2009. Methods The data were analyzed retrospectively from two general hospitals and four special hospital obstetrics and gynecology. Results There were 40800 deliveries in five yeas. The total numbers of PA were 102 cases. The incidence of PA was 2. 50 per 1000 births. The complications of PA were as following ：hypertensive disorder complicating pregnancy 46. 08%,other complications： Premature rupture of membranes, mechanical factors and polyhydramnios. Ineldenee of postpartum hemorrhage is 27.45% ,DICT. 84%, Hysterectomy2.94%, the perinatal death8. 82%. Conclusion The incidence of PA and the rate of perinatal infant death can be reduced by strengthening antenatal monitoring and reducing the incidence of PA. risk factors.