CAJ | 학술논문

目的：探讨未足月胎盘早剥行保守治疗的临床价值。方法选择2004年1月~2014年6月煤炭总医院住院收治0~玉级未足月胎盘早剥患者62例，根据治疗方式的不同将其分为其保守治疗34例，非保守治疗28例。比较两组患者的分娩方式和母婴结局。结果与非保守治疗组比较，保守治疗组患者分娩孕龄延长，新生儿体重增加，新生儿重度窒息发生率和病死率降低，差异均有统计学意义(P<0.05)。而两组新生儿轻度窒息发生率、剖宫产率和产后出血、弥散性血管内凝血及急性肾功能衰竭的发生率比较，差异无统计学意义(P>0.05)。结论0~玉级未足月胎盘早剥患者可行保守治疗，能够延长孕龄，增加新生儿体重，减少重度窒息发生率，降低新生儿病死率。
목적：탐토미족월태반조박행보수치료적림상개치。방법선택2004년1월~2014년6월매탄총의원주원수치0~옥급미족월태반조박환자62례，근거치료방식적불동장기분위기보수치료34례，비보수치료28례。비교량조환자적분면방식화모영결국。결과여비보수치료조비교，보수치료조환자분면잉령연장，신생인체중증가，신생인중도질식발생솔화병사솔강저，차이균유통계학의의(P<0.05)。이량조신생인경도질식발생솔、부궁산솔화산후출혈、미산성혈관내응혈급급성신공능쇠갈적발생솔비교，차이무통계학의의(P>0.05)。결론0~옥급미족월태반조박환자가행보수치료，능구연장잉령，증가신생인체중，감소중도질식발생솔，강저신생인병사솔。
Objective To evaluate the clinical value of conservative treatment of premature placental abruption. Meth-ods 62 pregnant women who were diagnosed as 0-玉 level of premature placental abruption and treated in Meitan Genenral Hospital from January 2004 to June 2014 were recruited in this study. According to the treatment methods, they were assigned into conservative treatment group (34 patients ) and non-conservative treatment group (28 patients). The delivery mode and pregnancy outcomes of the two groups were compared. Results Compared with the non-conser-vative treatment group, the pregnant weeks and neonatal weight were increased and the incidence of severe neonatal asphyxia and neonatal death were decreased in conservative treatment group, the differences were statistically signifi-cant (P < 0.05); incidence of mild asphyxia newborn, cesarean section rate and postpartum hemorrhage, diffuse in-travascular coagulation, and the incidence of acute renal failure of two groups had no statistically significant difference (P> 0.05). Conclusion The patients with 0-Ⅰ level of premature placental abruption can be treated by conservative method. The conservative treatment method has a positive effect in extending the pregnant weeks, increasing the neonatal weight and decreasing the incidence of severe neonatal asphyxia and neonatal death.