中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
19期
44-45,46
,共3页
蒋丽江%郭跃文%郑巍%何星云
蔣麗江%郭躍文%鄭巍%何星雲
장려강%곽약문%정외%하성운
中央性前置胎盘%产后出血%子宫切除%新生儿窒息
中央性前置胎盤%產後齣血%子宮切除%新生兒窒息
중앙성전치태반%산후출혈%자궁절제%신생인질식
Central placenta previa%Postpartum hemorrhage%Hysterectomy%Neonatal asphyxia
目的：探讨中央性前置胎盘相同孕周急诊剖宫产与计划剖宫产的妊娠结局，以指导孕期保健，改良母婴预后。方法：选择本院2003年1月-2010年12月8年间共收治的中央性前置胎盘患者108例，分孕周<34周、34~35+6周及≥36周统计，比较相同孕周急诊剖宫产及计划剖宫产两组的产后出血量率、输血率、子宫切除率及新生儿窒息率情况。结果：相同孕周急诊剖宫产与计划剖宫产总的产后出血率比较（χ2=3.234，P=0.072），输血率比较（χ2=6.547，P=0.011），子宫切除率比较（χ2=5.340，P=0.021），新生儿窒息率比较（χ2=10.586， P=0.001）。结论：相同孕周急诊剖宫产与计划剖宫产产后出血发生率无相关性，但输血率、子宫切除率及新生儿窒息率具有相关性。
目的：探討中央性前置胎盤相同孕週急診剖宮產與計劃剖宮產的妊娠結跼，以指導孕期保健，改良母嬰預後。方法：選擇本院2003年1月-2010年12月8年間共收治的中央性前置胎盤患者108例，分孕週<34週、34~35+6週及≥36週統計，比較相同孕週急診剖宮產及計劃剖宮產兩組的產後齣血量率、輸血率、子宮切除率及新生兒窒息率情況。結果：相同孕週急診剖宮產與計劃剖宮產總的產後齣血率比較（χ2=3.234，P=0.072），輸血率比較（χ2=6.547，P=0.011），子宮切除率比較（χ2=5.340，P=0.021），新生兒窒息率比較（χ2=10.586， P=0.001）。結論：相同孕週急診剖宮產與計劃剖宮產產後齣血髮生率無相關性，但輸血率、子宮切除率及新生兒窒息率具有相關性。
목적：탐토중앙성전치태반상동잉주급진부궁산여계화부궁산적임신결국，이지도잉기보건，개량모영예후。방법：선택본원2003년1월-2010년12월8년간공수치적중앙성전치태반환자108례，분잉주<34주、34~35+6주급≥36주통계，비교상동잉주급진부궁산급계화부궁산량조적산후출혈량솔、수혈솔、자궁절제솔급신생인질식솔정황。결과：상동잉주급진부궁산여계화부궁산총적산후출혈솔비교（χ2=3.234，P=0.072），수혈솔비교（χ2=6.547，P=0.011），자궁절제솔비교（χ2=5.340，P=0.021），신생인질식솔비교（χ2=10.586， P=0.001）。결론：상동잉주급진부궁산여계화부궁산산후출혈발생솔무상관성，단수혈솔、자궁절제솔급신생인질식솔구유상관성。
Objective:To investigate the pregnancy outcome of emergency and elective cesarean sections for central placenta previa within same gestational age,in order to direct antenatal care and to improve the prognosis of maternal and fetal.Method:108 cases with confirmed diagnosis of central placenta previa were selected covering a 8-year period from January 2003 to December 2010,they were divided into three groups:under 34 weeks gestation,at 34 to 35+6 weeks of gestation and over 36 weeks gestation.Then compared the rate of blood transfusion,hysterectomy and neonatal asphyxia in the same gestational age.Result:There was no difference in the rate of postpartum hemorrhage between the emergency cesarean section group and the elective cesarean section group( χ2=3.234,P=0.072).There was difference in the rate of blood transfusion( χ2=6.547,P=0.011),the rate of hysterectomy( χ2=5.340,P=0.021)and the rate of neonatal asphyxia( χ2=10.586,P=0.001)during the same period between the emergency cesarean section group and the elective cesarean section group.Conclusion:There is no correlation between the emergency cesarean section and the elective cesarean section in the rate of postpartum hemorrhage at the same gestational age.But there is correlation between the rate of blood transfusion, hysterectomy rates and the rate of neonatal asphyxia.
