完全性和部分性前置胎盘对产妇妊娠结局的影响

Effects of Complete and Partial Placenta Previa on Pregnancy Outcomes in Patients with Placenta Previa

目的探讨完全性和部分性前置胎盘类型对产妇妊娠结局的影响。方法选取2011年1月至2013年1月于南方医科大学附属深圳妇幼保健院产科进行生产的200例产妇为研究对象,其中完全性(完全组)和部分性前置胎盘(部分组)孕妇各100例,待孕妇生产后,比较两组产妇妊娠结局、生产方式以及新生儿状况。结果完全组产妇胎盘粘连、产后出血的发生率高于部分组[42.0%(42/100)比28.0%(28/100);52.0%(52/100)比36.0%(36/100)],差异有统计学意义(P<0.05);完全组产妇剖宫产分娩方式的比例显著高于部分组(100.0%比93.0%),差异有统计学意义(P<0.05)。完全组孕妇新生儿出现早产、窒息的比例显著高于部分组,差异有统计学意义(P<0.05)。结论孕妇的前置胎盘类型对妊娠结局有重要影响,较部分性胎盘前置孕妇,完全性胎盘前置孕妇的临床症状表现更为明显,预后也更差,在实际治疗中,应加强对完全性胎盘前置孕妇的临床干预。

Objective To explore the effects of complete and partial placenta previa on pregnancy out-come in patients with placenta previa .Methods A total of 200 pregnant women with placenta previa deliv-ered in Shenzhen Maternal and Child Health Hospital Affiliated to Southern Medical University from Jan . 2011 to Jan.2013 were selected as research objects,including 100 cases of complete placenta previa,and 100 cases of partial placenta previa,after production,the pregnancy outcomes,modes of production and neonatal status of the two groups were compared.Results Incidences of placenta adhesion,postpartum hemorrhage of complete placenta previa group were higher than those of the partial placenta previa group[42.0%（42/100） vs 28.0%（28/100）;52.0%（52/100） vs 36.0%（36/100）],the differences were statistically significant （P〈0.05）;cesarean section delivery rate of the complete placenta previa group was significantly higher than the partial placenta previa group （ 100.0% vs 93.0%） , the difference was statistically significant （ P 〈0.05）.Incidence of premature delivery,neonatal asphyxia of the complete placenta previa group was higher than the partial placenta previa group,the difference was statistically significant（P〈0.05）.Conclusion The type of placenta previa in pregnant women has important effect on the pregnancy outcome,compared with pregnant women with partial placenta previa,clinical symptoms of pregnant women with complete placenta previa is more apparent,with poorer prognosis,in actual treatment,clinical intervention should be strength-ened for pregnant women with complete placenta previa.