医源性早产298例临床分析

目的探讨医源性早产的不同构成因素、不同孕周对妊娠结局的影响。方法对2013年1月-2013年6月收治的298例医源性早产病例的临床资料进行回顾性分析。结果 (1)医源性早产的主要构成因素是妊娠期高血压疾病(40.60%),其次是羊水过少(18.46%)、妊娠期糖尿病(10.07%)、前置胎盘(9.73%)等,而引起新生儿窒息率最高的为胎盘早剥(57.14%)。(2)医源性早产孕34周后新生儿平均体重(2.53±0.59)kg明显升高,而新生儿窒息率(10.91%)降低。结论应坚持孕期产检、及时发现疾病和治疗,积极避免医源性早产的发生,对于医源性早产应尽量延长孕周至34周,大于34周患者应根据医源性早产的不同原因,综合评估母儿情况,适时终止妊娠。

Objective To explore the effect of different iatrogenic preterm factors and gestational weeks on pregnancy outcome.Methods A retrospective study of 298 cases of latrogenic preterm birth in the hospital from Jan 2013 to Jun 2013 was conducted.Results （1）The main constitute factors was gestational hypertension disease.Followed by oligohydramnios, gestational diabetes,placenta previa,etc.while the reason which caused the highest rate of neonatal asphyxia was placental abruption.（2）Iatrogenic preterm delivery at weeks after 34 in neonatal asphyxia rate was significantly decreased.While postpartum hemorrhage rate raised.Conclusion We should adhere to the production inspection,the timely discovery disease and treatment during pregnancy, actively prevent the occurrence of iatrogenic preterm birth.Iatrogenic preterm birth should be extended as far as possible for weeks after 34, if patients at weeks after 34 should be according to the different causes of iatrogenic preterm delivery, comprehensive assessment of maternal and perinatal situation.timely termination of pregnancy.