600例高龄产妇临床妊娠常见状况分析

Analysis of common clinical pregnancy dangerous situation on 600 cases of aged pregnant women

目的分析高龄产妇临床妊娠情况。方法对我院妇产科2010年10月至2015年4月收治的600例产妇的临床资料进行回顾性分析,按照年龄分为高龄产妇组(≥35岁)即观察组270例和适龄产妇组(<35岁)即对照组330例,比较两组产妇忧郁情绪和焦虑情绪评分、剖宫产率、妊娠合并症与分娩期并发症发生率及妊娠结局。结果观察组忧郁情绪评分和焦虑情绪评分分别为(51.3±10.3)、(58.2±11.7),对照组分别为(30.5±8.7)、(32.1±9.3),观察组明显高于对照组,差异具有统计学意义(P<0.05);观察组剖宫产率为67.78%,对照组为36.06%,观察组明显高于对照组,差异具有统计学意义(P<0.05);观察组妊娠合并症糖尿病、高血压、心脏病、胎盘前置及贫血的发生率分别为8.52%、11.11%、7.04%、2.96%、1.85%,对照组分别为1.52%、2.42%、0.30%、1.21%、0.30%,两组产妇妊娠合并症的发生率差异具有统计学意义,且观察组明显高于对照组;观察组分娩期并发症胎膜早破及产后出血的发生率分别为15.19%、4.07%,对照组分别为2.42%、1.52%,两组之间差异具有统计学意义(P<0.05),且观察组发生率明显高于对照组;观察组不良妊娠结局的发生率高于对照组,差异具有统计学意义(P<0.05)。结论高龄产妇不良情绪发生情况、剖宫产率、妊娠合并症与分娩期并发症发生率及不良妊娠结局发生率较适龄产妇均明显增加,因此加强高龄产妇的产前检查和产时监护十分重要。

Objective To analyze the clinical pregnancy status of elderly puerpera. Methods The clinical data of 600 pregnant women,who hospitalized in our hospital from October 2010 to April 2015 were retrospectively analyzed. According to age,the puerpera were divided into two groups： observation group（ elderly puerpera group,≥35 years old,n = 270） and control group（ appropriate age puerpera group, 35 years old,n =330）. Compared the depression and anxiety score,the proportion of cesarean section rate,incidence of complications of pregnancy and pregnancy outcomes of the puerpera between the two groups. Results The depression and anxiety score of observation group were（ 51. 3 ± 10. 3） and（ 58. 2 ± 11. 7）,which were significantly higher than the control group（ 30. 5 ± 8. 7 and 32. 1 ± 9. 3）,the difference is statistically significant（ P〈 0. 05）. The cesarean delivery rate of observation group was 67. 78%,which was significantly higher than the control group（ 36. 06%）,the difference was statistically significant（ P〈 0. 05）. Incidence of complications of pregnancy in observation group were 8. 52%,11. 11%,7. 04%,11. 11% and 1. 85%,and they were 1.52%,2. 42%,0. 30%,1. 21% and 0. 30% in the control group,the differences between the two groups were statistically significant（ P〈 0. 05）. The incidence of premature rupture of fetal membranes and postpartum hemorrhage of observation group were 15. 19% and 4. 07%,which were higher than the control group（ 2. 42%and 1. 52%）（ P〈 0. 05）. The incidence of adverse pregnancy outcome in the observation group was higher than that in the control group（ P〈 0. 05）. Conclusions Unhealthy emotions,the cesarean delivery rate,incidence of complications of pregnancy and the complications of intra- partum and adverse pregnancy outcome are more likely to happen in elderly puerpera,thus strengthen antenatal and intra- partum care for elderly puerpera is very necessary.