摘要
目的研究与分析高危妊娠中急性绒毛膜羊膜炎对妊娠结局的影响。方法从本院2015年10月至2017年10月接收的高危妊娠产妇中,随机抽取30名产妇,根据产妇是否发生急性绒毛膜羊膜炎进行分组,其中,24名未发生急性绒毛膜羊膜炎的产妇作为对照组,另外6名发生急性绒毛膜羊膜炎的产妇作为观察组。于产妇分娩时取脐带血干细胞制备进行检测,并取一块胎盘组织与胎膜组织,利用甲醛将其固定后用石蜡进行常规包埋,进行病理检查。观察两组产妇的妊娠结局,观察两组新生儿并发症的发生率以及健康状况。结果观察组产妇早产、剖宫产、胎盘早剥、产后出血、产褥感染的几率均高于对照组产妇;观察组新生儿新生儿窒息、新生儿死亡、胎内窘迫、败血症、肺炎发生几率均高于对照组;观察组新生儿健康状况Apgar评分显著低于对照组;P<0.05,差异具有统计学意义。结论急性绒毛膜羊膜炎和高危妊娠关系密切,影响着产妇的妊娠结局,并且会导致新生儿并发症的发生几率增大,对新生儿及产妇的生命健康造成一定的威胁,因此,临床上应加强对于高危妊娠产妇的护理和管理,降低急性绒毛膜羊膜炎的发病率,保证母婴的生命安全。
Objective To study and analyze the effect of acute chorioamnionitis on pregnancy outcome in high-risk pregnancy. Methods According to whether the parturients had acute chorioamnionitis, 24 parturients without acute ehorionic amnionitis were used as the control group, and the other 6 women who had acute ehorioamnionitis were selected. As an observation group. The umbilical cord blood stem cells were detected and a piece of placental tissue and membrane tissue were taken from the parturients, and the paraffin was fixed with Paraffin for routine encapsulation, and the pathological examination was carried out. The pregnancy outcome of two groups of pregnant women was observed, and the incidence of complications and health status of two groups were observed. Results The probability of preterm birth, cesarean section, placental abruption, postpartum hemorrhage and puerperal infection in the observation group were higher than those of the control group. The incidence of neonatal asphyxia, neonatal death, fetal distress, sepsis and pneumonia in the observation group was higher than that of the control group; The apgar score of the new newborn infants in the observation group was significantly lower than that in the observation group, P〈0.05, the difference was statistically significant. Conclusion Acute ehorioamnionitis is closely related to high risk pregnancy, which affects the pregnancy outcome of the parturient, and will lead to the increase in the incidence of neonatal complications and a certain threat to the life and health of newborns and parturients. Therefore, the nursing and management of high risk pregnant women should be strengthened in clinical, so as to reduce the acute incidence of pregnancy.. The incidence of ehorioamnionitis ensures the safety of mother and infant.
作者
白明春
BAI Ming-ehun(The People's Hospital of Youyang Tujia&Miao Autonomous County,Chongqing,40989)
出处
《智慧健康》
2018年第17期27-28,32,共3页
Smart Healthcare
关键词
高危妊娠
急性绒毛膜羊膜炎
妊娠结局
High risk pregnancy
Acute chorioamnionitis
Pregnancy outcome