中国保健营养（中旬刊）
中國保健營養（中旬刊）
중국보건영양（중순간）
China Hwalth Care & nutrition
2013年
2期
287-288
,共2页
前置胎盘%期待疗法%分娩%可行性
前置胎盤%期待療法%分娩%可行性
전치태반%기대요법%분면%가행성
Placenta previa%Expectant treantwent%Dilivery%feasibility
目的：通过观察前置胎盘期待疗法的临床效果，探讨其可行性。方法：将2006年1月于2011年12月住院分娩的前置胎盘患者120例中因出血、自发子宫收缩、孕足月、孕妇要求而剖宫产终止妊娠40例作为对照组，其余80例作为观察组进行期待疗法，比较两组患者在分娩孕周、产前、产后出血量、产褥感染、围生儿体质量、Apgar评分、病死率、呼吸道窘迫征等方面上的差异，并进行统计学处理。结果：两组产前出血无差异；期待治疗组产后出血少、孕周延长、产褥感染少、新生儿体质量增加、Apgar 改善、RDS 及死亡下降，有显著性差异。结论：在严密监测下期待治疗前置胎盘在确保母婴安全的前提下，延长孕龄、改善存活儿的预后、降低围生儿死亡率，具有可行性。
目的：通過觀察前置胎盤期待療法的臨床效果，探討其可行性。方法：將2006年1月于2011年12月住院分娩的前置胎盤患者120例中因齣血、自髮子宮收縮、孕足月、孕婦要求而剖宮產終止妊娠40例作為對照組，其餘80例作為觀察組進行期待療法，比較兩組患者在分娩孕週、產前、產後齣血量、產褥感染、圍生兒體質量、Apgar評分、病死率、呼吸道窘迫徵等方麵上的差異，併進行統計學處理。結果：兩組產前齣血無差異；期待治療組產後齣血少、孕週延長、產褥感染少、新生兒體質量增加、Apgar 改善、RDS 及死亡下降，有顯著性差異。結論：在嚴密鑑測下期待治療前置胎盤在確保母嬰安全的前提下，延長孕齡、改善存活兒的預後、降低圍生兒死亡率，具有可行性。
목적：통과관찰전치태반기대요법적림상효과，탐토기가행성。방법：장2006년1월우2011년12월주원분면적전치태반환자120례중인출혈、자발자궁수축、잉족월、잉부요구이부궁산종지임신40례작위대조조，기여80례작위관찰조진행기대요법，비교량조환자재분면잉주、산전、산후출혈량、산욕감염、위생인체질량、Apgar평분、병사솔、호흡도군박정등방면상적차이，병진행통계학처리。결과：량조산전출혈무차이；기대치료조산후출혈소、잉주연장、산욕감염소、신생인체질량증가、Apgar 개선、RDS 급사망하강，유현저성차이。결론：재엄밀감측하기대치료전치태반재학보모영안전적전제하，연장잉령、개선존활인적예후、강저위생인사망솔，구유가행성。
Objective:To study the clinic effect and feasibility of expectant treatment of placenta previa.Methods:120 cases of placenta previa delivered in hospital from January 2002 to December 2009 were divided into two groups:control group,40 cases of placenta previa were terminated pregnancy by uterine-incision delivery because of bleeding,spontaneous uterine contraction, or full term to pregnancy;observation group, the other 80 cases of placenta previa received expectant treatment. The delivery gestational weeks svndrome(RDS)of two groups were compared. Results:the difference of two groups in ante partum hemorrhage had no significance Observation group had less postpartum hemorrhage, longer gestional weeks,less puerperal infection, more weight of neonate,more inprove Apgar score,less RDS and case fatality rate which compared with control group. The difference of two groups had signicance. Conclusion:Expectant treatment of placenta previa in exact monitoring can prolong gestational age,improve the prognosis of survival infant, degrade the death rute of perinatal infant on the base of ensuring the safety of mother and infant. Expectant treatment of placenta previa has feasbility.
