自发性早产和医源性早产的对比分析

Comparative analysis of spontaneous and latrogenic preterm birth

目的研究自发性早产和医源性早产的病例特点。方法回顾性分析了2013年1~12月我院收治的234例早产患者。结果自发性早产166例,医源性早产68例,早产发生率为6%。两组病例在年龄、孕周、新生儿体重、流产史、经产妇、早中晚期早产构成比等方面无明显差异,而在是否接受正规产检率、剖宫产率、孕妇CRP水平等方面有明显差异。胎膜早破为自发性早产的主要原因,ICP、产前出血、子痫前期是导致医源性早产的前3位因素。结论积极预防和治疗感染等早产相关危险因素能降低早产的发生率,选择合适分娩方式能降低早产儿的并发症和死亡率。

Objective To study the characteristics between spontaneous preterm birth and latrogenic preterm birth. Methods Retrospectively analyzed 234 hospital delivery cases of preterm labor in our hospital from Jan to Dec in 2013. Results 166 cases were spontaneous preterm birth and 68 cases were latrogenic preterm. The incidence of premature was 6%. There were no significant differences in age, gestational weeks, birth weight, history of abortion, muhipara and each period of preterm births component. However,there were obvious differences in the rate of accepting regular prenatal examination, the rate of cesarean section, and the level of CRP. Premature rupture of membranes was the main cause of spontaneous preterm birth, and the top three factors of latrogenie preterm birth were ICP, antepartum haemorrhage and eelampsia. Conclusion The ac- tive prevention and treatment of premature related factors such as infection can reduce the incidence of premature birth. The ap- propriate mode of delivery should be selected to reduce the complications and mortality of premature infants.