CAJ | 학술논문

目的：探讨医源性早产的不同构成因素、不同孕周对妊娠结局的影响。方法对2013年1月-2013年6月收治的298例医源性早产病例的临床资料进行回顾性分析。结果（1）医源性早产的主要构成因素是妊娠期高血压疾病(40.60%)，其次是羊水过少(18.46%)、妊娠期糖尿病(10.07%)、前置胎盘(9.73%)等，而引起新生儿窒息率最高的为胎盘早剥(57.14%)。(2)医源性早产孕34周后新生儿平均体重(2.53±0.59) kg明显升高，而新生儿窒息率(10.91%)降低。结论应坚持孕期产检、及时发现疾病和治疗，积极避免医源性早产的发生，对于医源性早产应尽量延长孕周至34周，大于34周患者应根据医源性早产的不同原因，综合评估母儿情况，适时终止妊娠。
목적：탐토의원성조산적불동구성인소、불동잉주대임신결국적영향。방법대2013년1월-2013년6월수치적298례의원성조산병례적림상자료진행회고성분석。결과（1）의원성조산적주요구성인소시임신기고혈압질병(40.60%)，기차시양수과소(18.46%)、임신기당뇨병(10.07%)、전치태반(9.73%)등，이인기신생인질식솔최고적위태반조박(57.14%)。(2)의원성조산잉34주후신생인평균체중(2.53±0.59) kg명현승고，이신생인질식솔(10.91%)강저。결론응견지잉기산검、급시발현질병화치료，적겁피면의원성조산적발생，대우의원성조산응진량연장잉주지34주，대우34주환자응근거의원성조산적불동원인，종합평고모인정황，괄시종지임신。
Objective To explore the effect of different iatrogenic preterm factors and gestational weeks on pregnancy outcome.Methods A retrospective study of 298 cases of latrogenic preterm birth in the hospital from Jan 2013 to Jun 2013 was conducted.Results (1)The main constitute factors was gestational hypertension disease.Followed by oligohydramnios,gestational diabetes,placenta previa,etc.while the reason which caused the highest rate of neonatal asphyxia was placental abruption.(2)Iatrogenic preterm delivery at weeks after 34 in neonatal asphyxia rate was significantly decreased.While postpartum hemorrhage rate raised.Conclusion We should adhere to the production inspection,the timely discovery disease and treatment during pregnancy,actively prevent the occurrence of iatrogenic preterm birth.Iatrogenic preterm birth should be extended as far as possible for weeks after 34,if patients at weeks after 34 should be according to the different causes of iatrogenic preterm delivery,comprehensive assessment of maternal and perinatal situation.timely termination of pregnancy.