CAJ | 학술논문

目的：探讨青春期妊娠分娩产科结局的特点。方法对2010~2014年无锡市锡山人民医院分娩的289例青春期妊娠初产妇与同期300例成年产妇的临床资料进行回顾性对照分析。结果青春期组阴道分娩、早产、急产的发生率(分别为74．0%、14．9%、4．5%)高于成年组(分别为47．3%、3．7%、1．3%)(P<0．05)；青春期组并发妊娠期高血压疾病、贫血、产后出血、宫颈裂伤、阴道壁血肿的发生率(分别为10．0%、7．6%、2．8%、3．5%、22．1%)均高于成年组(分别为4．0%、1．3%、0．7%、1．0%、3．7%)( P<0．05)；青春期组新生儿出生缺陷及新生儿窒息率(3．1%、3．8%)高于成年组(0．7%、1．0%)(P <0．05)。结论青春期妊娠母儿结局均较成年组差，青春期妊娠产妇更应加强围产期保健及监测，尽可能地改善妊娠及分娩结局。
목적：탐토청춘기임신분면산과결국적특점。방법대2010~2014년무석시석산인민의원분면적289례청춘기임신초산부여동기300례성년산부적림상자료진행회고성대조분석。결과청춘기조음도분면、조산、급산적발생솔(분별위74．0%、14．9%、4．5%)고우성년조(분별위47．3%、3．7%、1．3%)(P<0．05)；청춘기조병발임신기고혈압질병、빈혈、산후출혈、궁경렬상、음도벽혈종적발생솔(분별위10．0%、7．6%、2．8%、3．5%、22．1%)균고우성년조(분별위4．0%、1．3%、0．7%、1．0%、3．7%)( P<0．05)；청춘기조신생인출생결함급신생인질식솔(3．1%、3．8%)고우성년조(0．7%、1．0%)(P <0．05)。결론청춘기임신모인결국균교성년조차，청춘기임신산부경응가강위산기보건급감측，진가능지개선임신급분면결국。
Objective To explore the characteristics of obstetric outcomes of adolescent pregnancy. Methods A retrospective case-control study was performed in 289 cases of adolescent pregnancy and 300 cases of adult pregnancy in Xishan People's Hospital of Wuxi City from 2010 to 2014. Results The rate of natural delivery premature delivery and precipitate labor of adolescent group (74. 0%、14. 9 %、4. 5 %) were higher than those of adult group (47. 3 %, 3. 7 %, 1. 3 %) (P<0. 05). The incidence of preeclampsia, anemia, postpartum hemorrhage, cervical laceration, vaginal wall hematoma of adolescent group ( 10. 0 %、7. 6 %、2. 8 %、3. 5 %、22. 1 %) were higher than those of adult group ( 4. 0 %, 1. 3 %, 0. 7 %, 1. 0 %, 3. 7 %) ( P<0. 05 ) . The incidence of birth defects and neonatal asphyxia of adolescent group ( 3. 1%, 3. 8 %) were higher than those of adult group ( 0. 6 %, 1. 0 %) ( P<0. 05). Conclusion The maternal and fetal outcomes of adolescent pregnancy are poor than adult pregnancy, adolescent pregnancy should strengthen perinatal care and monitoring, to improve the pregnancy and birth outcomes.