CAJ | 학술논문

目的：分析高龄产妇临床妊娠情况。方法回顾性分析2013年10月至2014年4月濮阳市人民医院妇产科1113例产妇的临床资料，按照年龄分为高龄产妇组（≥35岁）320例和适龄产妇组（＜35岁）793例，比较两组产妇忧郁情绪和焦虑情绪评分、剖宫产率、妊娠合并症与分娩期并发症发生率及妊娠结局。结果高龄产妇组忧郁情绪评分和焦虑情绪评分[分别为（56.7±12.3）、（60.2±13.4）]明显高于适龄产妇组[分别为（34.1±9.5）、（31.8±10.2）]（P＜0.05），高龄产妇组剖宫产率、妊娠合并症发生率、分娩期并发症发生率、胎儿窘迫、早产儿、低体重儿、巨大儿、新生儿畸形、新生儿窒息、胎死宫内发生率均高于适龄产妇组（ P＜0.05）。结论高龄产妇妊娠合并症与分娩期并发症发生率及围生儿不良结局增加，加强高龄产妇的产前检查和产时监护十分重要。
목적：분석고령산부림상임신정황。방법회고성분석2013년10월지2014년4월복양시인민의원부산과1113례산부적림상자료，안조년령분위고령산부조（≥35세）320례화괄령산부조（＜35세）793례，비교량조산부우욱정서화초필정서평분、부궁산솔、임신합병증여분면기병발증발생솔급임신결국。결과고령산부조우욱정서평분화초필정서평분[분별위（56.7±12.3）、（60.2±13.4）]명현고우괄령산부조[분별위（34.1±9.5）、（31.8±10.2）]（P＜0.05），고령산부조부궁산솔、임신합병증발생솔、분면기병발증발생솔、태인군박、조산인、저체중인、거대인、신생인기형、신생인질식、태사궁내발생솔균고우괄령산부조（ P＜0.05）。결론고령산부임신합병증여분면기병발증발생솔급위생인불량결국증가，가강고령산부적산전검사화산시감호십분중요。
Objective To analyze the clinical pregnancy status of elderly puerperas.Methods The clinical data of 1 113 pregnant women from October 2013 to April 2014 in The People’ s Hospital of Puyang City were retrospectively analyzed.According to age, the puerperas were divided into two groups: elderly puerperas group (≥35 years old, n=320 ) and appropriate age puerperas group(<35 years old, n=793).Compared the depression and anxiety score, the proportion of cesarean section rate, incidence of complications of pregnancy and pregnancy outcomes of the puerperas between two groups.Results The depression and anxiety score of elderly puerperas[(56.7 ±12.3)、(60.2 ±13.4) respectively] were significantly higher than appropriate age puerperas [ (34.1 ± 9.5)、(31.8 ±10.2) respectively] (P<0.05) ; The cesarean section rate and incidence of complications of pregnancy of elderly puerperas group were significantly higher than appropriate age puerperas group(P<0.05);The rate of fetal distress, preterm, low birth weight, macrosomia, neonatal malformations, asphyxia and stillbirth of elderly puerperas group were higher than appropriate age puerperas group(P<0.05).Conclusion Strengthen antenatal and intrapartum care for elderly puerperas is very necessary.