摘要
目的分析不同严重程度胎盘早剥(PA)对母婴妊娠结局产生的影响。方法选取2016年1月至2019年8月佳木斯市妇幼保健院产科收治的110例因各种原因导致的PA孕妇,根据病情严重程度,分为轻型胎盘早剥组(胎盘剥离面积≤1/3,轻型组)52例和重型胎盘早剥组(胎盘剥离面积>1/3,重型组)58例。分析不同严重程度的PA产妇分娩方式及并发症、新生儿一般情况和妊娠结局等方面的差异。结果重型组PPH、DIC、UA及CS发生率较轻型组高,差异有统计学意义(P<0.05)。重型组FD、PD、NA及LBW发生率较轻型组高,差异有统计学意义(P<0.05)。重型组首发临床征象至就诊时限及首发临床征象至处理时限长于轻型组,差异有统计学意义(P<0.05)。结论PA严重程度对母婴妊娠结局的影响十分显著。与轻型孕妇相比,重型孕妇存在较高的妊娠并发症发生率,且围生儿存在较差的预后状况。临床应当早期诊断PA,并给予患者有效处理,对积极预防妊娠并发症的发生,以及对促进围生儿预后状况的改善十分有利。
【Objective】To analyze the effects of different severity of placental abruption(PA)on maternal and infant pregnancy outcomes.【Methods】According to the severity of the condition,110 cases of PA pregnant women admitted to our hospital from January 2016 to August 2019 were divided into the mild placental abruption group(placental abruption area≤1/3,light group)with 52 cases and the severe placental abruption group(placental abruption area>1/3,heavy group)with 58 cases.The differences in delivery mode,complications,general situation of newborn and pregnancy outcome of PA parturient with different severity were analyzed.【Results】Compared with the mild group,the severe group had higher incidence of PPH,DIC,UA and CS(P<0.05).Compared with the light group,the incidence of neonatal fetal distress(FD),perinatal death(PD),neonatal asphyxia(NA)and low birth weight(LBW)in the heavy group were all higher,with statistically significant differences(P<0.05).The time from the first clinical sign to consultation and the time from the first clinical sign to treatment were longer in the heavy group than in the light group,and the difference was statistically significant(P<0.05).【Conclusion】The influence of PA severity and treatment time on the maternal pregnancy outcome is very significant.Compared with pregnant women in light group,pregnant women in heavy group have higher incidence of pregnancy complications,and perinatal infants exist poor prognosis condition.Clinicians should pay attention to early diagnosis of PA,and give patients effective treatment,which is conducive to actively prevent pregnancy complications and promote the improvement of perinatal prognosis.
作者
王俐力
杨丽杰
刘晓霞
WANG Lili;YANG Lijie;LIU Xiaoxia(Family Planning Service Center,Jiamusi Maternal and Child Health Hospital,Jiamusi,Heilongjiang 154002,China)
出处
《中国医学工程》
2020年第11期79-81,共3页
China Medical Engineering
关键词
胎盘早剥
妊娠并发症
妊娠结局
预后
placental abruption
pregnancy complications
pregnancy outcome
prognosis
