妇产科门诊就诊孕妇高危因素分析

Analysis of risk factors and coping strategies for pregnant women in outpatient department of obstetrics

目的了解本院妇产科门诊具有高危因素的就诊孕妇的高危因素。方法选择2018年1月1日—6月30日在本院就诊的具有高危因素的322例孕妇为研究对象,分析就诊孕产妇的高危因素情况。结果2018年1月—6月到本院就诊的具有高危因素孕妇合计322人次,年龄为(29.03±4.77)岁,孕周为(18.52±9.54)周;其主要高危因素分别为瘢痕子宫154人次(占比47.83%),患有乙肝28人次(占比8.70%),瘢痕子宫同时患有乙肝24人次(占比7.45%),高龄合并瘢痕子宫15人次(占比4.66%),人流≥3次合并瘢痕子宫13人次(占比4.04%),其他高危因素88人次(占比27.33%)。结论应加强高危妊娠孕妇的早期筛查与围产期管理,针对不同的高危因素特点采取不同的处理措施。

Objective To understand the high-risk factors of pregnant women in the outpatient department of obstetrics and gynecology of yuechi county people′s hospital.Methods A total of 322 pregnant women with high-risk factors who visited our hospital on June 30,2018 were selected to analyze their high-risk factors.Results A total of 322 pregnant women with high-risk factors visited our hospital from January to June 2018,with an average age of(29.03±4.77)years old and an average gestational week of(18.52±9.54)weeks.The main risk factors of scar uterus respectively 154(47.83%),28 m people with hepatitis B(8.70%),scar uterus 24 people(7.45%)patients with hepatitis b,aged merging scar uterus 15 people(4.66%),13 m people three merger or scar uterus(4.04%),other risk factors(27.33%)of 88 person-time.Conclusion Early screening and perinatal management of high-risk pregnant women should be strengthened and different treatment measures should be taken according to different characteristics of high-risk factors.