中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2013年
27期
8-9
,共2页
完全性前置胎盘%出血%妊娠结局
完全性前置胎盤%齣血%妊娠結跼
완전성전치태반%출혈%임신결국
Total placenta praevia%Bleeding%Pregnant outcomes
目的：探究预防及降低孕产妇及胎儿死亡率的有效方法。方法：选取笔者所在医院诊治的246例完全性胎盘前置患者为病例组，随机选择同期笔者所在医院妇产科收住的246例非病理性妊娠妇女为对照组，观察两组妊娠结局的情况。结果：完全性前置胎盘患者中反复妊娠患者42.7%，有人工流产史患者占74.8%，而有31.7%剖宫产史患者发生此情况。病例组246例中，有4例患者使用子宫全切，原因均为术中大量出血，同时也导致有2例出现死胎。大量出血患者孕周、保胎时间、新生儿体重中均明显少于中少量出血的患者(P<0.05)，而发生贫血的情况则相反；但是在新生儿Apgar的评分与出血量的多少无明显关联(P>0.05)。病例组子宫切除、早产、保胎治疗时间、剖宫产的使用率、新生儿评分及新生儿贫血的发生情况均明显高于对照组(P<0.05)；但在体重及终止妊娠时间方面明显少于对照组(P<0.05)。结论：反复妊娠、人工流产史及剖宫产史可能是导致前置胎盘的高危因素，前置胎盘的妊娠结局较差，需要适时终止妊娠。
目的：探究預防及降低孕產婦及胎兒死亡率的有效方法。方法：選取筆者所在醫院診治的246例完全性胎盤前置患者為病例組，隨機選擇同期筆者所在醫院婦產科收住的246例非病理性妊娠婦女為對照組，觀察兩組妊娠結跼的情況。結果：完全性前置胎盤患者中反複妊娠患者42.7%，有人工流產史患者佔74.8%，而有31.7%剖宮產史患者髮生此情況。病例組246例中，有4例患者使用子宮全切，原因均為術中大量齣血，同時也導緻有2例齣現死胎。大量齣血患者孕週、保胎時間、新生兒體重中均明顯少于中少量齣血的患者(P<0.05)，而髮生貧血的情況則相反；但是在新生兒Apgar的評分與齣血量的多少無明顯關聯(P>0.05)。病例組子宮切除、早產、保胎治療時間、剖宮產的使用率、新生兒評分及新生兒貧血的髮生情況均明顯高于對照組(P<0.05)；但在體重及終止妊娠時間方麵明顯少于對照組(P<0.05)。結論：反複妊娠、人工流產史及剖宮產史可能是導緻前置胎盤的高危因素，前置胎盤的妊娠結跼較差，需要適時終止妊娠。
목적：탐구예방급강저잉산부급태인사망솔적유효방법。방법：선취필자소재의원진치적246례완전성태반전치환자위병례조，수궤선택동기필자소재의원부산과수주적246례비병이성임신부녀위대조조，관찰량조임신결국적정황。결과：완전성전치태반환자중반복임신환자42.7%，유인공유산사환자점74.8%，이유31.7%부궁산사환자발생차정황。병례조246례중，유4례환자사용자궁전절，원인균위술중대량출혈，동시야도치유2례출현사태。대량출혈환자잉주、보태시간、신생인체중중균명현소우중소량출혈적환자(P<0.05)，이발생빈혈적정황칙상반；단시재신생인Apgar적평분여출혈량적다소무명현관련(P>0.05)。병례조자궁절제、조산、보태치료시간、부궁산적사용솔、신생인평분급신생인빈혈적발생정황균명현고우대조조(P<0.05)；단재체중급종지임신시간방면명현소우대조조(P<0.05)。결론：반복임신、인공유산사급부궁산사가능시도치전치태반적고위인소，전치태반적임신결국교차，수요괄시종지임신。
Objective:To explore the effective method of prevent and reduce that patients who had pre-placental maternal and fetal mortality.Method:Select 246 cases of patients that diagnosis complete placenta previa and treatment in our hospital as the case group,randomly selected 246 cases of the patients who had non-pathological pregnant women for the control group,to contrast the outcome of pregnancy in two groups.Result:In patients with complete placenta previa in patients with recurrent pregnancy 42.7%,74.8%in patients with a history of abortion,this situation occurs in patients with a history of cesarean section in 31.7%. In this group of 246 cases,4 cases of patients with hysterectomy,reason for bleeding during surgery,but also result in 2 cases were still.Pregnancy week,fetus protection and neonatal birth weight were significantly lower in patients with massive hemorrhage than patients with a small amount of bleeding(P<0.05),anemia was the opposite;but in neonatal Apgar score and how much blood loss were no clear relation(P>0.05).Hysterectomy,preterm delivery,fetus protection treatment time and rate of use of caesarean section,neonatal scores,and the incidence of neonatal anaemia in case group were significantly higher than that in the control group(P<0.05);but the terms of weight and pregnancy termination time in case group were significantly less than the control group(P<0.05).Conclusion:History of cesarean section,history of repeated pregnancy and abortion may be the risk factors for placenta previa,pregnant outcomes is bad for patients with placenta previa,it should timely cesarean section termination of pregnancy.
