胎盘早剥对妊娠结局及围生儿预后的影响

Abruption on pregnancy outcome and impact of perinatal prognosis of children

目的探析胎盘早剥对产妇妊娠结局以及围生儿的影响。方法选取我院妇产科2011年1月—2013年12月期间收治的60例胎盘早剥孕产妇为研究组,同期选择60例健康孕妇为对照组,对比分析两组妊娠结局和围生儿预后情况。结果研究组孕妇产前贫血、剖宫产、失血性休克、子宫卒中、产后出血、子宫切除等发生率31.67%、35.00%、15.00%、40.00%、36.67%、13.33%明显高于对照组的8.33%、43.33%、5.00%、3.33%、3.33%、0.00%(P<0.05);研究组胎儿宫内窘迫、羊水粪染、窒息、早产、低体重儿、死亡等发生率31.67%、35.00%、15.00%、40.00%、36.67%、13.33%明显高于对照组的11.67%、15.00%、1.67%、5.00%、8.33%、0.00%(P<0.05)。结论胎盘早剥严重影响妊娠结局和围生儿预后,临床工作中要积极防治可导致胎盘早剥的危险因素,改善孕妇的妊娠结局和围生儿的预后。

Objective Analysis of the impact of pregnancy on maternal placental abruption and perinatal outcomes of children. Methods Our hospital obstetrics January 2011-December 2013 period 60 cases were treated maternal placental abruption study group, compared with 60 patients with healthy control group of pregnant women, pregnancy outcomes and comparative analysis of two perinatal child outcomes situation. Results Study group prenatal anemia, cesarean section, hemorrhagic shock, stroke uterus, postpartum hemorrhage, hysterectomy was significantly higher （P〈0.05）; Study Group fetal distress, meconium-stained amniotic fluid, asphyxia, The incidence of premature birth, low birth weight children, death was significantly higher （P〈0.05）. Conclusion Abruption seriously affect pregnancy outcomes and child perinatal outcomes, clinical work to prevent and treat risk factors can lead to placental abruption and improve the prognosis of pregnant women and pregnancy outcomes of perinatal children.