CAJ | 학술논문

目的：探讨前置胎盘发生的影响因素及其妊娠结局。方法选取我院2010年3月~2013年5月收治的前置胎盘孕产妇120例为病例组，随机选取同期130例正常孕产妇为对照组。采用病例对照的研究方法，回顾性分析前置胎盘的影响因素、妊娠结局。结果高龄、胎次多、文化程度较低、盆腔炎、瘢痕子宫、流产史等为前置胎盘的影响因素；前置胎盘易导致早产、产后出血、胎盘粘连、低出生体重、1min Apgar评分下降。结论单个或多个因素均可导致前置胎盘的发生，加强孕产妇保健和管理，做到“三早”，延长孕龄，控制出血，适时终止妊娠等，可有效防止前置胎盘的发生。
목적：탐토전치태반발생적영향인소급기임신결국。방법선취아원2010년3월~2013년5월수치적전치태반잉산부120례위병례조，수궤선취동기130례정상잉산부위대조조。채용병례대조적연구방법，회고성분석전치태반적영향인소、임신결국。결과고령、태차다、문화정도교저、분강염、반흔자궁、유산사등위전치태반적영향인소；전치태반역도치조산、산후출혈、태반점련、저출생체중、1min Apgar평분하강。결론단개혹다개인소균가도치전치태반적발생，가강잉산부보건화관리，주도“삼조”，연장잉령，공제출혈，괄시종지임신등，가유효방지전치태반적발생。
Objective To explore the risk factors of placenta previa and its impact on pregnancy outcome. Methods A case-control study was conducted, 120 pregnant women with placenta were selected as case group from March 2010 to May 2013, and 130 normal pregnant women were randomly selected as control group during the same period. Pregnancy outcomes in the two groups were compared, the risk factors of placenta paevia were evaluated. Results The high risk factors of placenta previa included advanced age, parity, low educational level, pelvic inflammatory disease, scarred uterus, history of abortion, and so on; placenta previa was liable to induce premature delivery, postpartum hemorrhage, placental adhesion, low birth weight and decrease of one minute Apgar score. Conclusion The onset of placenta praevia is induced by single or multiple factors, enhancing maternal management, and ensuring early screening, early diagnosis, and early treatment. Prolonging gestational age, terminating pregnancy timely and controlling bleeding can improve perinatal outcome.