CAJ | 학술논문

目的：研究不同类型胎盘早剥对母婴结局的影响。方法随机选取江苏省张家港市第三人民医院自2009年1月—2014年12月住院分娩的60例胎盘早剥患者为研究对象,并根据患者病情严重程度,参考临床胎盘早剥分型标准将其分为轻型组和重型组,通过比较两组分娩方式、产妇结局、新生儿结局评价不同胎盘早剥类型对母婴结局的影响。结果重型胎盘早剥分娩方式以剖宫产为主,轻型以阴道分娩为主。重症组产妇产后胎盘出血、DIC、胎盘卒中等并发症的发生率明显高于轻症组,重型组新生儿不良事件发生率明显高于轻症组,P<0.05,差异有统计学意义。结论胎盘早剥严重程度直接影响母婴结局,重型胎盘早剥母婴不良事件发生率明显高于轻型胎盘早剥。因此,早期发现、及时处理对于提高胎盘早剥后母婴生存质量尤为重要。
목적：연구불동류형태반조박대모영결국적영향。방법수궤선취강소성장가항시제삼인민의원자2009년1월—2014년12월주원분면적60례태반조박환자위연구대상,병근거환자병정엄중정도,삼고림상태반조박분형표준장기분위경형조화중형조,통과비교량조분면방식、산부결국、신생인결국평개불동태반조박류형대모영결국적영향。결과중형태반조박분면방식이부궁산위주,경형이음도분면위주。중증조산부산후태반출혈、DIC、태반졸중등병발증적발생솔명현고우경증조,중형조신생인불량사건발생솔명현고우경증조,P<0.05,차이유통계학의의。결론태반조박엄중정도직접영향모영결국,중형태반조박모영불량사건발생솔명현고우경형태반조박。인차,조기발현、급시처리대우제고태반조박후모영생존질량우위중요。
Objective To study the effects of different types of placental abruption on the maternal-infant outcome. Methods 60 patients with placental abruption undergoing delivery in our hospital during January 2009 and December 2014 were selected as the research object and divided into severe group and mild group according to differentiation standards for placental abruption based on patientˊs condition. Delivery mode, maternal outcomes and neonatal outcome were compared between the two groups to evaluate the effects of different types of placental abruption on the maternal-infant outcome. Results For patients with severe placental abruption, the main delivery mode was caesarean section, while for those with mild placental abruption, vaginal delivery was main-ly performed. Complication rate of postpartum hemorrhage, DIC, placenta apoplexy in parturient women were higher, and adverse reaction rate in neonates were higher, in the severe group than in the mild group, and the differences were statistically significant, P<0.05. Conclusion Maternal-infant outcome is directly influenced by placental abruption, the severer one of which can lead to higher adverse reaction rate. Therefore, it is very important to detect and treat this disease timely.