胎盘早剥相关因素与结局

The Relationship Between the Placental Abruption's Correlation Factors and Its End-results

目的：探讨胎盘早剥相关因素与结局之间的关系。方法回顾性分析我院产科2003年7月～2012年10月胎盘早剥患者126例患者的临床资料，将62例以腹痛为主要症状的胎盘早剥患者归为观察组，64例以阴道出血为主要症状胎盘早剥患者归入对照组。统计所有患者的发病诱因、临床症状与体征，分析临床症状与子宫卒中的关系，观察患者的胎盘早剥面积、出血量、并发症及母婴预后。结果以腹痛为主要症状者（观察组）子宫胎盘卒中的发生率高于以阴道出血为主要症状者（对照组），差异有统计学意义（P〈0.05）。观察组患者剖宫产率、产后出血、DIC 发生率、死胎发生率高于对照组，差异有统计学意义（P〈0.05）。结论积极治疗预防引起胎盘早剥的病因，尤其注意妊高症、外伤、催产素引产、催产等；以腹痛为主要症状的胎盘早剥危险性较高，临床上遇到此类患者，需要提高警惕，及时处理，以减少母婴不良预后的发生率。

Objective To investigate the relationship between the placental abruption’s correlation factors with its end-results. Methods This study was a retrospective analysis of the clinical data of placental abruption in the department of obstetrics of our hospital between July,2003 and October,2012. 126 cases of placental abruption were selected,62 cases with abdominal pain as the main symptoms were defined the Observation Group（OG）,64 cases with vaginal bleeding as the main symptoms were specified the Control Group（CG）. The cause of onset,clinical symptoms and physical signs of al patients were recorded. It was analyzed the relationship between clinical symptoms and uterine apoplexy. The placental abruption area,bleeding volume,complications and prognosis of mothers and infants in al cases were observed. Results The uteroplacental apoplexy of OG was statistical y significantly higher than CG（P〈0.05）. The rate of cesarean section,postpartum hemorrhage’s volume,the incidence of DIC and fetal death in OG were statistical y significantly higher than CG（P〈0.05）. Conclusion We should pay particular attention to treat and prophylaxis the cause of placental abruption,especial y attention to gestational hypertension syndrome,trauma,oxytocin induction,hasten parturition,and so on. The placental abruption with abdominal pain as the main symptoms had a higher risk. If we encounter such patients,we need be alert. The patients should be timely treated,so as to reduce the incidence of adverse prognosis of mothers and babies.