胎盘早剥临床处理时限对妊娠结局的影响

Effect of clinical treatment time limit of placental abruption on the pregnancy outcomes

目的探讨胎盘早剥临床处理时限对妊娠结局的影响。方法将我院接受胎盘早剥治疗的80例产妇作为研究对象,根据胎盘早剥病情的严重程度将胎盘早剥产妇分为轻度胎盘早剥组(n=45)与重度胎盘早剥组(n=35),对产妇的病历进行回顾性分析。结果轻度胎盘早剥组的腹痛发生率为6.67%,低于重度胎盘早剥组的22.86%(P<0.05);轻度胎盘早剥组的胎心异常发生率为4.44%,低于重度胎盘早剥组的14.29%(P<0.05);两组产妇的频繁宫缩、阴道流血以及血性羊水的发生率差异不明显(P>0.05);产妇出现的不良妊娠结局的临床处理时限均显著长于未出现上述不良妊娠结局的产妇(P<0.05)。结论胎盘早剥的临床处理时限直接影响产妇妊娠结局,临床处理时间越短越有利于改善产妇的妊娠结局。

Objective To investigate the effect of clinical treatment time limit of placental abruption on the pregnancy outcome. Methods Eighty cases of placental abruption treated in our hospital were selected as the research objects. According to the severity of placental abruption, they were divided into mild placental abruption group （n=45） and severe placental abruption group （n=35）. The retrospective analysis was used to analyze the medical records of the parturient. Results The incidence of abdominal pain in the mild placental abruption group was 6.67%, which was lower than 22.86% of the severe placental abruption group （P〈0.05）. The incidence of abnormal fetal heart rate in the mild placental abruption group was 4.44%,which was lower than 14.29% of the severe placental abruption group （P〈0.05）. There was no significant difference in the incidence of uterine contraction, vaginal bleeding and bloody amniotic fluid between the two groups （P〉0.05）. The clinical treatment time limit of adverse pregnancy outcomes were significantly longer than those without such adverse pregnancy outcomes （P〈0.05）. Conclusion The clinical treatment time limit of placental abruption directly affects the pregnant outcome. The shorter the time of clinical treatment is more beneficial to the improvement of pregnancy outcome.