国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
13期
1926-1928
,共3页
钟春华%黎笑容%袁秀英%林小琦%陈武娟%钟玲
鐘春華%黎笑容%袁秀英%林小琦%陳武娟%鐘玲
종춘화%려소용%원수영%림소기%진무연%종령
前置胎盘%危险因素%妊娠结局
前置胎盤%危險因素%妊娠結跼
전치태반%위험인소%임신결국
Placenta previa%Risk factors%Pregnancy outcome
目的 探讨前置胎盘的高危因素及其对妊娠结局的影响.方法 对2008年3月至2013年3月在我院产科住院分娩的240例前置胎盘产妇和同期我院未患有前置胎盘的240例产妇进行病例对照分析.结果 病例组和对照组在年龄、文化水平、吸烟状况、分娩史、剖宫产史以及流产史上的分布有统计学差异(P<0.01).logistic回归结果显示高龄、吸烟、分娩史、剖宫产史以及流产史是前置胎盘发病的高危因素(P<0.01).前置胎盘在胎盘粘连、植入、早产、产后出血、新生儿窒息和围生儿死亡等妊娠结局指标上分布有统计学差异(P<0.05).结论 高龄、吸烟、分娩史、剖宫产史以及流产史的孕妇前置胎盘发病率高;前置胎盘易导致产妇胎盘粘连、胎盘植入、产后大出血、早产以及新生儿窒息.
目的 探討前置胎盤的高危因素及其對妊娠結跼的影響.方法 對2008年3月至2013年3月在我院產科住院分娩的240例前置胎盤產婦和同期我院未患有前置胎盤的240例產婦進行病例對照分析.結果 病例組和對照組在年齡、文化水平、吸煙狀況、分娩史、剖宮產史以及流產史上的分佈有統計學差異(P<0.01).logistic迴歸結果顯示高齡、吸煙、分娩史、剖宮產史以及流產史是前置胎盤髮病的高危因素(P<0.01).前置胎盤在胎盤粘連、植入、早產、產後齣血、新生兒窒息和圍生兒死亡等妊娠結跼指標上分佈有統計學差異(P<0.05).結論 高齡、吸煙、分娩史、剖宮產史以及流產史的孕婦前置胎盤髮病率高;前置胎盤易導緻產婦胎盤粘連、胎盤植入、產後大齣血、早產以及新生兒窒息.
목적 탐토전치태반적고위인소급기대임신결국적영향.방법 대2008년3월지2013년3월재아원산과주원분면적240례전치태반산부화동기아원미환유전치태반적240례산부진행병례대조분석.결과 병례조화대조조재년령、문화수평、흡연상황、분면사、부궁산사이급유산사상적분포유통계학차이(P<0.01).logistic회귀결과현시고령、흡연、분면사、부궁산사이급유산사시전치태반발병적고위인소(P<0.01).전치태반재태반점련、식입、조산、산후출혈、신생인질식화위생인사망등임신결국지표상분포유통계학차이(P<0.05).결론 고령、흡연、분면사、부궁산사이급유산사적잉부전치태반발병솔고;전치태반역도치산부태반점련、태반식입、산후대출혈、조산이급신생인질식.
Objective To explore the risk factors of placenta previa and its effects on pregnancy.Methods We preformed the case-control study basing on the data of 240 maternal with placenta previa and 240 maternal without placenta previa in our hospital from March 2008 to March 2013.Results Among two groups,distributions of age,education level,smoking status,history of childbirth,cesarean section and abortion were statistically significantly different (P < 0.01).The results of the logistic regression analysis showed high age,smoking habit and history of childbirth,cesarean section and abortion were risk factors for placenta previa.Meanwhile,distributions of maternal placenta accreta,placenta accreta,postpartum hemorrhage,premature birth and neonatal asphyxia were statistically significantly different among two groups (P < 0.05).Conclusions Pregnant women with high age,smoking habit and history of childbirth,cesarean section and abortion have a high risk of placenta previa; placenta previa can lead to maternal placenta accreta,placenta accreta,postpartum hemorrhage,premature birth and neonatal asphyxia.