中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
9期
18-19
,共2页
过期妊娠%顺产%剖宫产%延期妊娠%预后
過期妊娠%順產%剖宮產%延期妊娠%預後
과기임신%순산%부궁산%연기임신%예후
Prolonged pregnancy%Normal childbirth%Cesarean section%Delayed pregnancy%Prognosis
目的：分析过期妊娠胎儿的分娩方式及妊娠终止时机差异性对预后的影响。方法回顾性分析某院2012年5月—2014年11月收治的100例过期妊娠产妇(研究组)及同期80例延期产妇(对照组)临床资料，探究不同分娩方式及妊娠终止时机对胎儿预后的影响。结果研究组顺产胎儿中新生儿窒息8例(25%)、胎儿窘迫15例(46.9%)，与剖宫产新生儿窒息3例(4.4%)、胎儿窘迫12例(17.6%)相比较，差异有统计学意义(P<0.05)；研究组胎儿窘迫27例(27%)、新生儿窒息11例(11%)、产后出血11例(11%)、产程延长25例(25%)，对照组分别为12例(15%)、2例(2.5%)、4例(5%)、3例(3.8%)，组间差异有统计学意义(P<0.05)。结论过期妊娠产妇采取剖宫产能够有效降低胎儿窘迫、新生儿窒息发生率，提高胎儿预后，而延期妊娠产妇应加强临床产检、适时终止妊娠，以避免形成过期妊娠，影响胎儿预后。
目的：分析過期妊娠胎兒的分娩方式及妊娠終止時機差異性對預後的影響。方法迴顧性分析某院2012年5月—2014年11月收治的100例過期妊娠產婦(研究組)及同期80例延期產婦(對照組)臨床資料，探究不同分娩方式及妊娠終止時機對胎兒預後的影響。結果研究組順產胎兒中新生兒窒息8例(25%)、胎兒窘迫15例(46.9%)，與剖宮產新生兒窒息3例(4.4%)、胎兒窘迫12例(17.6%)相比較，差異有統計學意義(P<0.05)；研究組胎兒窘迫27例(27%)、新生兒窒息11例(11%)、產後齣血11例(11%)、產程延長25例(25%)，對照組分彆為12例(15%)、2例(2.5%)、4例(5%)、3例(3.8%)，組間差異有統計學意義(P<0.05)。結論過期妊娠產婦採取剖宮產能夠有效降低胎兒窘迫、新生兒窒息髮生率，提高胎兒預後，而延期妊娠產婦應加彊臨床產檢、適時終止妊娠，以避免形成過期妊娠，影響胎兒預後。
목적：분석과기임신태인적분면방식급임신종지시궤차이성대예후적영향。방법회고성분석모원2012년5월—2014년11월수치적100례과기임신산부(연구조)급동기80례연기산부(대조조)림상자료，탐구불동분면방식급임신종지시궤대태인예후적영향。결과연구조순산태인중신생인질식8례(25%)、태인군박15례(46.9%)，여부궁산신생인질식3례(4.4%)、태인군박12례(17.6%)상비교，차이유통계학의의(P<0.05)；연구조태인군박27례(27%)、신생인질식11례(11%)、산후출혈11례(11%)、산정연장25례(25%)，대조조분별위12례(15%)、2례(2.5%)、4례(5%)、3례(3.8%)，조간차이유통계학의의(P<0.05)。결론과기임신산부채취부궁산능구유효강저태인군박、신생인질식발생솔，제고태인예후，이연기임신산부응가강림상산검、괄시종지임신，이피면형성과기임신，영향태인예후。
ObjectiveTo analyze the effect of different mode of delivery and pregnancy termination timing for prolonged pregnancy on the fetal outcome.Methods A retrospective analysis was conducted on the clinical data of 100 puerperants with prolonged pregnancy(study group) and 80 puerperants with delayed pregnancy(control group) admitted in our hospital from May 2012 to November 2014. And the effect of different mode of delivery and pregnancy termination timing on the prognosis of fetal outcome was investigated.Results In the study group, of the fetuses delivered naturally, there were 8 cases with neonatal asphyxia(25%), 15 cases with fetal distress(46.9%); of the fetuses delivered by cesarean section, there were 3 cases with neonatal asphyxia(4.4%), 12 cases with fetal distress(17.6%), the differences in neonatal asphyxia and fetal distress between the fetuses delivered naturally and those delivered by cesarean section in the study group were statistically significant(P<0.05). In the study group, there were 27 cases with fetal distress(27%), 11 cases with neonatal asphyxia(11%), 11 cases with postpartum hemorrhage (11%), 25 cases with prolonged labor(25%), in the control group, there were 12 cases with fetal distress(15%), 2 cases with neonatal asphyxia(2.5%), 4 cases with postpartum hemorrhage(5%), 3 cases with prolonged labor(3.8%), the differences between the two groups were statistically significant(P<0.05). Conclusion For puerperants with prolonged pregnancy, cesarean section can effectively reduce the incidence of fetal distress and neonatal asphyxia and improve the prognosis of the fetus. For puerperants with delayed pregnancy, strengthened clinical antenatal care and timely termination of pregnancy can avoid the formation of prolonged pregnancy which in turn affects the fetal outcome.
