医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
21期
56-57
,共2页
过期妊娠%分娩结局%高危因素
過期妊娠%分娩結跼%高危因素
과기임신%분면결국%고위인소
Prolonged pregnancy%Birth outcomes%Risk factors
目的：分析过期妊娠原因和对产妇及胎儿的影响，探讨预防及处理措施。方法回顾性分析本院收治的93例过期妊娠产妇与同期93例正常足月妊娠产妇临床分娩资料，观察比较两组的分娩特征及分娩结局。结果两组的初次妊娠年龄≥35岁、孕期规范保健、月经异常史、骨盆狭窄、避孕药史、家族史方面比较存在明显差异(<0.05或<0.01)，具有统计学意义；两组剖官产、巨大儿、羊水浑浊、羊水过少、新生儿评分≤7分、胎窘、新生儿窒息、围产儿死亡发生率比较存在明显差异(<0.05或<0.01)，具有统计学意义。结论应加强孕期保健和产期监测，减少延期妊娠甚至过期妊娠的发生，综合分析其高危因素，需适时终止妊娠，以确保母婴安全，可明显改善妊娠分娩结局。
目的：分析過期妊娠原因和對產婦及胎兒的影響，探討預防及處理措施。方法迴顧性分析本院收治的93例過期妊娠產婦與同期93例正常足月妊娠產婦臨床分娩資料，觀察比較兩組的分娩特徵及分娩結跼。結果兩組的初次妊娠年齡≥35歲、孕期規範保健、月經異常史、骨盆狹窄、避孕藥史、傢族史方麵比較存在明顯差異(<0.05或<0.01)，具有統計學意義；兩組剖官產、巨大兒、羊水渾濁、羊水過少、新生兒評分≤7分、胎窘、新生兒窒息、圍產兒死亡髮生率比較存在明顯差異(<0.05或<0.01)，具有統計學意義。結論應加彊孕期保健和產期鑑測，減少延期妊娠甚至過期妊娠的髮生，綜閤分析其高危因素，需適時終止妊娠，以確保母嬰安全，可明顯改善妊娠分娩結跼。
목적：분석과기임신원인화대산부급태인적영향，탐토예방급처리조시。방법회고성분석본원수치적93례과기임신산부여동기93례정상족월임신산부림상분면자료，관찰비교량조적분면특정급분면결국。결과량조적초차임신년령≥35세、잉기규범보건、월경이상사、골분협착、피잉약사、가족사방면비교존재명현차이(<0.05혹<0.01)，구유통계학의의；량조부관산、거대인、양수혼탁、양수과소、신생인평분≤7분、태군、신생인질식、위산인사망발생솔비교존재명현차이(<0.05혹<0.01)，구유통계학의의。결론응가강잉기보건화산기감측，감소연기임신심지과기임신적발생，종합분석기고위인소，수괄시종지임신，이학보모영안전，가명현개선임신분면결국。
Objective Analysis the prolonged pregnancy causes and ef ects of maternal and fetal explore precautions. Methods A retrospective analysis of 93 patients admit ed to our hospital maternal with the same period of prolonged pregnancy birth data from 93 normal ful -term pregnancy, maternal clinical observation of the two groups were compared characteristics of delivery and birth outcomes. Results Gestational age ≥ 35 years of age, family of icials, narrow pelvis, oligomenorrhea standardize care, pregnancy, contraceptive history significantly dif erent (P>0.05), with a statistical y significant; two groups oligohydramnios turbid amniotic fluid, great children, fetal distress, cesarean section, neonatal score ≤7 neonatal asphyxia, ring births, incidence of significant dif erences ( <0.05), with statistical significance. Conclusion Should strengthen the monitoring of health care during pregnancy and childbirth, and reduce the occurrence of delayed pregnancy or even prolonged pregnancy, a comprehensive analysis of its risk factors, the need to timely termination of pregnancy, in order to ensure the safety of mother and child, can significantly improve the outcome of pregnancy and delivery.
