产科发生急性肺水肿的相关因素分析

Analysis of related factors of acute pulmonary edema in obstetrics

目的：分析产科发生急性肺水肿（ APE）的相关因素。方法选取2005年1月至2015年6月收治的产妇1575例，根据病情不同分为APE组（n＝75）和非APE组（n＝1500）。应用二分类Logistic回归分析方法对产科发生急性肺水肿相关因素进行分析。结果经单因素及多因素分析，产妇的双胎妊娠/多胎妊娠、妊娠高血压性心脏病、围生期心肌病、器质性心脏病、肺部感染、重度子痫前期、绒毛膜羊膜炎、过度疲劳、安宝治疗早产及输液过量或过速均是发生APE的独立危险因素（P﹤0.05）。结论重点监测心肺功能，勿过度劳累，适时终止妊娠，慎扩容，严格控制安宝应用，加强输液管理，是预防产科发生APE的根本措施。

Objective To analyze the related factors of acute pulmonary edema（ APE）in obstetrics. Methods From January 2005 to June 2015 ,the clinical data of 1 575 cases of maternal were se-lected,according to different conditions,the patients were divided into APE group（ n =75 ）and non APE group（ n=1 500 ）. The factors of acute pulmonary edema were analyzed by using two Logistic re-gression analysis. Results By single factor and multi factor analysis,maternal twin pregnancy/ multiple pregnancy,pregnancy induced hypertension,peripar cardiomyopathy,organic heart disease,pulmonary infection,severe preeclampsia,chorioamnionitis,excessive fatigue,safety of the treatment of premature delivery and infusion of excess or over speed were the risks of APE （ P﹤0.05 ）.＆amp;nbsp;Conclusions Focus on monitoring the heart and lung function,it is not over exertion,timely ending pregnancy,be careful expansion,it should strictly control the application of security,strengthening the management of transfusion is the fundamental measure to prevent the occurrence of APE.