妊娠合并血小板减少对产妇分娩方式和母婴结局的影响

The Effect of Thrombocytopenia Complicating Pregnancy on Delivery Mode and Maternal and Infant Outcomes

目的 研究并分析合并血小板减少的产妇其分娩方式及结局所受到的影响。方法 收集合并血小板减少的产妇共41例作为观察组,另收集41例健康产妇作为对照组,将两组研究对象的分娩方式以及母婴结局进行观察和对比。结果 观察组的剖宫产率为68.29%（28/41）,高于对照组的29.27%（12/41）,差异具有统计学意义（χ-2=12.495,P=0.000）;观察组的产后出血发生率为19.51%（8/41）,高于对照组的0.00%（0/41）,差异具有统计学意义（χ-2=8.865,P=0.003）;观察组的胎儿窒息发生率为24.39%（10/41）,高于对照组的4.88%（2/41）,差异具有统计学意义（χ-2=6.248,P=0.012）;观察组的新生儿血小板减少发生率为24.39%（10/41）,高于对照组的2.44%（1/41）,差异具有统计学意义（χ2=8.505,P=0.004）。结论 产妇一旦合并血小板减少,将会提高剖宫产率,并导致不良母婴结局,应给予高度重视。

Objective To evaluate the effect of thrombocytopenia complicating pregnancy on the delivery mode and maternal outcomes. Methods A total of 41 cases of women with thrombocytopenia were collected as the experimental group, and 41 cases of healthy women were collected as the control group. The delivery methods and the maternal and infant outcomes of these two groups were assessed.Results The observation group of cesarean section rate was 68.29% （28/41）, which was significantly higher than the control group 29.27% （12/41）, the difference was statistically significant （χ2=12.495,P=0.000）. The incidence of postpartum hemorrhage was 19.51% （8/41）, which was significantly higher than control group 0% （0/41）, the difference was statistically signiifcant （χ2=8.865,P=0.003）. Fetal asphyxia rate of the observation group was 24.39% （10/41）, which was signiifcantly higher than the control group 4.88% （2/41）, the difference was statistically signiifcant （χ2=6.248,P=0.012）. Neonatal platelets of the observation group reduced the incidence rate was 24.39% （10/41）, which was significantly higher than the control group 2.44% （1/41）, the difference was statistically signiifcant （χ2=8.505, P=0.004）.Conclusion Once thrombocytopenia occurs in pregnant women, there will be an increase in the rate of cesarean section, leading to adverse maternal and neonatal outcomes. Thus, great attention should be attached to gestational thrombocytopenia.