孕期发生胎盘早剥的临床危险因素分析

Analysis of Clinical Risk Factors of Placental Abruption during Pregnancy

目的:通过回顾性研究167例胎盘早剥(PA)孕妇,探讨孕妇发生PA的相关临床危险因素。方法:收集2007年1月至2012年12月间在武汉市妇幼保健院住院确诊的167例PA孕妇的临床资料,回顾性分析PA孕妇的年龄、居住地、产次、双胎或多胎妊娠、产前阴道流血、胎膜破裂时间、孕妇血压情况、活动量、有无外伤、脐带情况、催产方式、孕期慢性咳嗽及便秘情况、胎盘早剥类型等情况。结果:我院胎盘早剥发生率0.56%。急诊入院患者占82.04%(137/167),有明确发病诱因105例(62.87%),以胎膜早破、妊娠期高血压疾病、外伤性因素、双胎、脐带因素、催产等为主。结论:应重视产前保健,孕期高度警惕有PA高危因素的孕妇,一旦发生PA,尽早诊断,积极处理,改善母儿结局。

Objective：To investigate the clinical risk factors of PA in 167 cases of placental abruption （PA）. Methods： Clinical data of 167 cases with placental abruption were retrospectively reviewed in Wuhan Children＇s Hospital from Jan.2007 to Dec. 2012. The data of PA pregnant women＇s age, residence, parity, twin or multiple pregnancy, prenatal vaginal bleeding, rupture of membranes, blood pressure, time of activity, there is no trauma, umbilical cord, oxytocin, chronic cough and constipation during pregnancy, placental abruption type were analyzed retrospectively. Results ： The incidence of placental abruption was 0.56% inclu- ding emergency patients accounting for 82.04%.105 cases had the main predisposing factors（62.87% ） , main- ly including hypertensive disorders of pregnancy, premature rupture of fetal membranes, with oxytocin and traumatic factors. Conclusion： Pay more attention to prenatal care, pregnant women with high risk factors of PA, once the occurrence of PA, as soon as possible diagnosis, active treatment, improve materual outcome.