胎膜早破并发胎盘早剥的临床分析

Clinical Analysis of Premature Rupture of Membranes Complicated With Placental Abruption

目的研究胎膜早破并发胎盘早剥的临床特点。方法回顾性选择我院80例产妇,40例为胎膜早破并发胎盘早剥病例,将其作为观察组;另外40例产妇为无胎膜早破的胎盘早剥病例,将其作为对照组进行回顾性分析。就两组产妇母儿预后情况进行比较,分析胎膜早破并发胎盘早剥的临床特点。结果胎膜早破并发胎盘早剥产妇的产后2 h出血量、输血率、凝血功能异常率及母亲入住OICU率上明显高于其他原因所致胎盘早剥组,胎膜早破并发胎盘早剥新生儿预后较对照组更差。两组差异均有统计学意义(P<0.05)。结论胎盘早破并发胎盘早剥比其他原因所致的胎盘早剥对母儿结局影响更大,临床上应该重视胎膜早破并发胎盘早剥。

Objective To study the clinical diagnosis and treatment of premature rupture of membrane complicated with placental abruption. Methods 80 cases of parturients in our hospital, 40 cases of premature rupture of membranes and placental abruption were selected as the observation group, and the other 40 cases of placental abruption without premature rupture of the membranes were analyzed as the control group. Compare and analyse the clinical characteristics of two groups maternal-fetal Outcome. Results The postpartum 2 h bleeding, blood transfusion rate, abnormal rate of blood coagulation function and the rate of OICU in the mother were significantly higher than those of other causes. The prognosis of premature rupture of fetal membrane and placental abruption was worse than that of the control group. The difference between the two groups was significant, P〈0.05. Conclusion Placental abruption complicated by placental abruption has a greater influence on the outcome of mother and child than placental abruption caused by other reasons.Clinical attention should be paid to premature rupture of membranes complicated with placental abruption.