实用妇科内分泌电子杂志
實用婦科內分泌電子雜誌
실용부과내분비전자잡지
Journal of Practical Gynecologic Endocrinology
2015年
2期
6-6,8
,共2页
高危妊娠%术后低氧血症%危险因素%疗效
高危妊娠%術後低氧血癥%危險因素%療效
고위임신%술후저양혈증%위험인소%료효
High risk pregnancy%Postoperative hypoxemia%Risk factors%Curative effect
目的：本文主要是为了探讨和分析高危妊娠患者术后并发低氧血症的发生因素。方法选择2014年1月～2014年7月我院产科接收的50例产妇的临床资料作为研究对象，所有的产妇都为高危妊娠，接受了相应的剖宫产手术，对孕妇的临床治疗以及PaO2值进行比较、观察和记录。结果50例产妇中出现低氧血症的共有10例，占总人数的20%，其中包括轻度低氧血症7例、中度低氧血症2例以及重度低氧血症1例。手术之后无低氧血症的产妇前后PaO2对比差异较为明显。单因素结果显示患者的体重、年龄、剖宫产手术之间、吸烟与产次与高危妊产妇的术后并发低氧血症存在显著的关系。通过Logistic回归分析产妇的体重、年龄、吸烟是高危妊娠产妇术后出现低氧血症较为独立的一种危险因素。所有产妇在接受机械通气治疗之后，都产生了一定的效果，显效率和有效率分别为92%和100%。结论高危妊娠产妇很容易出现术后低氧血症的现象，其发生率与年龄、是否吸烟以及体重有关，作为其独立危险因素需要对相关因素进行重视，还要引导患者积极接受机械通气治疗。
目的：本文主要是為瞭探討和分析高危妊娠患者術後併髮低氧血癥的髮生因素。方法選擇2014年1月～2014年7月我院產科接收的50例產婦的臨床資料作為研究對象，所有的產婦都為高危妊娠，接受瞭相應的剖宮產手術，對孕婦的臨床治療以及PaO2值進行比較、觀察和記錄。結果50例產婦中齣現低氧血癥的共有10例，佔總人數的20%，其中包括輕度低氧血癥7例、中度低氧血癥2例以及重度低氧血癥1例。手術之後無低氧血癥的產婦前後PaO2對比差異較為明顯。單因素結果顯示患者的體重、年齡、剖宮產手術之間、吸煙與產次與高危妊產婦的術後併髮低氧血癥存在顯著的關繫。通過Logistic迴歸分析產婦的體重、年齡、吸煙是高危妊娠產婦術後齣現低氧血癥較為獨立的一種危險因素。所有產婦在接受機械通氣治療之後，都產生瞭一定的效果，顯效率和有效率分彆為92%和100%。結論高危妊娠產婦很容易齣現術後低氧血癥的現象，其髮生率與年齡、是否吸煙以及體重有關，作為其獨立危險因素需要對相關因素進行重視，還要引導患者積極接受機械通氣治療。
목적：본문주요시위료탐토화분석고위임신환자술후병발저양혈증적발생인소。방법선택2014년1월～2014년7월아원산과접수적50례산부적림상자료작위연구대상，소유적산부도위고위임신，접수료상응적부궁산수술，대잉부적림상치료이급PaO2치진행비교、관찰화기록。결과50례산부중출현저양혈증적공유10례，점총인수적20%，기중포괄경도저양혈증7례、중도저양혈증2례이급중도저양혈증1례。수술지후무저양혈증적산부전후PaO2대비차이교위명현。단인소결과현시환자적체중、년령、부궁산수술지간、흡연여산차여고위임산부적술후병발저양혈증존재현저적관계。통과Logistic회귀분석산부적체중、년령、흡연시고위임신산부술후출현저양혈증교위독립적일충위험인소。소유산부재접수궤계통기치료지후，도산생료일정적효과，현효솔화유효솔분별위92%화100%。결론고위임신산부흔용역출현술후저양혈증적현상，기발생솔여년령、시부흡연이급체중유관，작위기독립위험인소수요대상관인소진행중시，환요인도환자적겁접수궤계통기치료。
Objective The purpose of this paper is to investigate and analyze the high risk pregnancy patients complicated with postoperative hypoxemia factors. Methods Select 2014 January to 2015 January in our hospital 50 cases of maternal obstetric accept pregnancy clinical data as the research object, all women are high risk pregnancy, accept the corresponding cesarean operation, the clinical treatment for pregnant women and PaO2 values were compared, to observe and record. Results 50 cases of maternal hypoxemia occurred in a total of 10 cases, the total number of 20%, including 7 cases of mild hypoxemia, 2 cases of moderate hypoxemia and 1 cases of severe hypoxemia. After the operation without hypoxemia after cesarean section before and after PaO2 contrast more obvious differences. Univariate results showed the patient's body weight, age, cesarean section, operation between smoking and parity and high-risk maternity postoperative hypoxemia existed significant relationship. Through the Logistic regression analysis of maternal body weight, age, cigarette smoking is a high-risk pregnancy maternal postoperative hypoxemia is independent of a learning factors. All women after receiving mechanical ventilation therapy, produced certain effect, significant effective rate and effective rate were 92% and 100%. Conclusion The high risk pregnant women is easy to appear the phenomenon of postoperative hypoxemia, its incidence with age, smoking and weight related, as the independent risk factors of attention to the factors related to need, but also to guide the patients receiving mechanical ventilation therapy actively.
