安徽卫生职业技术学院学报
安徽衛生職業技術學院學報
안휘위생직업기술학원학보
Journal of Anhui Health Vocational & Technical College
2015年
5期
98-99,112
,共3页
胎盘早剥%妊娠期高血压%剖宫产%分娩
胎盤早剝%妊娠期高血壓%剖宮產%分娩
태반조박%임신기고혈압%부궁산%분면
Placental abruption%Hypertensive disorders complicating pregnancy%Cesarean section%Delivery
目的：：探讨胎盘早剥的致病因素，提高早期确诊率，降低母婴并发症。方法：收集某院住院收治的79例胎盘早剥患者资料，比较Ⅰ度、Ⅱ度、Ⅲ度胎盘剥离患者的临床资料。结果：Ⅱ度、Ⅲ度胎盘早剥临床表现较为典型，产前诊断率分别为93.3%及100%，Ⅰ度胎盘早剥的产前诊断率76.4%，Ⅰ度与Ⅱ度、Ⅲ度两组相比有统计学差异（P<0.05）。在三组胎盘早剥的危险因素中，妊娠期高血压疾病占第1位。三组患者的新生儿窒息、围产儿死亡、子宫卒中、产后出血的发生率均有统计学差异（P<0.05），Ⅱ度及Ⅲ度胎盘早剥的剖宫产率明显高于Ⅰ度（P<0.05）。结论：早期诊断胎盘早剥，对争取抢救时机、及时终止妊娠、减少母婴并发症有重要的临床意义。
目的：：探討胎盤早剝的緻病因素，提高早期確診率，降低母嬰併髮癥。方法：收集某院住院收治的79例胎盤早剝患者資料，比較Ⅰ度、Ⅱ度、Ⅲ度胎盤剝離患者的臨床資料。結果：Ⅱ度、Ⅲ度胎盤早剝臨床錶現較為典型，產前診斷率分彆為93.3%及100%，Ⅰ度胎盤早剝的產前診斷率76.4%，Ⅰ度與Ⅱ度、Ⅲ度兩組相比有統計學差異（P<0.05）。在三組胎盤早剝的危險因素中，妊娠期高血壓疾病佔第1位。三組患者的新生兒窒息、圍產兒死亡、子宮卒中、產後齣血的髮生率均有統計學差異（P<0.05），Ⅱ度及Ⅲ度胎盤早剝的剖宮產率明顯高于Ⅰ度（P<0.05）。結論：早期診斷胎盤早剝，對爭取搶救時機、及時終止妊娠、減少母嬰併髮癥有重要的臨床意義。
목적：：탐토태반조박적치병인소，제고조기학진솔，강저모영병발증。방법：수집모원주원수치적79례태반조박환자자료，비교Ⅰ도、Ⅱ도、Ⅲ도태반박리환자적림상자료。결과：Ⅱ도、Ⅲ도태반조박림상표현교위전형，산전진단솔분별위93.3%급100%，Ⅰ도태반조박적산전진단솔76.4%，Ⅰ도여Ⅱ도、Ⅲ도량조상비유통계학차이（P<0.05）。재삼조태반조박적위험인소중，임신기고혈압질병점제1위。삼조환자적신생인질식、위산인사망、자궁졸중、산후출혈적발생솔균유통계학차이（P<0.05），Ⅱ도급Ⅲ도태반조박적부궁산솔명현고우Ⅰ도（P<0.05）。결론：조기진단태반조박，대쟁취창구시궤、급시종지임신、감소모영병발증유중요적림상의의。
To investigate the risk factors of placental abruption, enhance the accuracy of early diagnosis,and decrease the complication of mother and fetus. Methods:The clinical data of 79 cases with placental abruption were retrospectively reviewed in hospital. According to placental separation area are divided into three groups.Ⅰ° placental abruption 34 cases, Ⅱ° placental abruption 30 cases, Ⅲ° placental abruption 15 cases. Results:Ⅱ° andⅢ° placenta l abruption have more typical clinical symptom. The prenatal diagnosis rate of three groups were 93.3% , 100%and 76.4%, Ⅰ° placental abruption had significant difference compared with the other two groups. At the risk factors of three groups,Hypertensive disorders complicating pregnancy for the first. Three groups of asphyxia neonatorum, perinatal death, uterine apoplexy, the incidence of postpartum hemorrhage rate difference has statistics (P<0.05).The rate of cesarean section in Ⅱ° and Ⅲ° placental abruption was higher than that in Ⅰ° placental abruption (P<0.05).Conclusion:Early diagnosis of placental abruption has important clinical significance to strive for the time for rescue, timely terminate pregnancy and reduce maternal and neonatal complications.
