重度子痫前期并发胎盘早剥的危险因素

Risk Factors for Severe Preeclampsia Complicated with Placental Abruption

目的探讨重度子痫前期并发胎盘早剥的危险因素。方法收集我院诊断为重度子痫前期的孕妇,共计138例,按孕妇是否发生胎盘早剥,进一步分为:30例研究组(发生胎盘早剥)和108例对照组(未发生胎盘早剥)。对比研究组和对照组体质量指数、孕周、分娩方法及一般临床资料。结果研究组和对照组体质量指数、孕周、分娩方法结果比较无差异(P>0.05);研究组和对照组收缩压、舒张压、24 h蛋白、白蛋白、孕早期阴道流血史发生率结果比较有差异(P<0.05)。结论本次研究认为重度子痫前期并发胎盘早剥的危险因素主要有收缩压、舒张压、24 h蛋白、白蛋白、孕早期阴道流血史有关,对于有以上高危因素的孕妇,要高度警惕发生胎盘早剥的风险。

Objective To explore the risk factors for severe preeclampsia complicated with placental abruption.Methods A total of 138 cases diagnosed with severe preeclampsia were collected,and further divided into：30 cases as study group（placental abruption）and 108 cases as control group（no placental abruption）.To compare study group and control group of BMI,gestational age,delivery method and general clinical data.Results BMI,gestational age,delivery method of study group and control group had no difference（P〉0.05）;systolic blood pressure,diastolic blood pressure,24 hours protein,albumin,and vaginal bleeding rate in early pregnancy in two groups,there are differences（P〈0.05）.Conclusion This study suggests that risk factors for severe preeclampsia complicated with placental abruption mainly are systolic BP,diastolic BP,24 hours protein,albumin,and history of vaginal bleeding in early pregnancy.