摘要
目的探讨胎膜后出血的先兆流产患者的妊娠结局。方法对280例妊娠早期经超声检查胎膜后出血,且胚胎存活的患者进行回顾性分析,按面积比例法分为轻、重二种程度分别作为观察组1和观察组2,与无胎膜后出血的先兆流产(对照组1)及正常妊娠(对照组2)对照,所有先兆流产患者均常规给予HCG和黄体酮安胎治疗,追踪其妊娠结局及并发症。结果观察组1的自然流产率是11%,与对照组1(12%)和对照组2(10%)比较,除妊娠期糖尿病发病率稍高外,余各项观察指标差异无统计学意义(p>0.05);观察组2与对照组1和对照组2比较,流产率、胎儿生长受限(FGR)、胎儿窘迫、羊水过少、妊娠期糖尿病、妊高征的发生率均增高,差异均有统计学意义(p<0.05);与观察组1比较,流产率、FGR、胎儿窘迫、羊水过少、妊娠期糖尿病、妊高征的发生率也明显增高,差异均有统计学意义(p<0.05);对照组1与对照组2比较,各指标差异无统计学意义(p>0.05)。结论重度胎膜后出血的先兆流产患者,妊娠并发症的发生率较高,应加强产检监护。
Objective To study the pregnancy outcome of threatened abortion with hemorrhage behind fetal membranes of patients. Methods Respectively analyze the 280 threatened abortion patients with hemorrhage behind the fetal membrane by Ultrasound examination, and the embryo is survival. Dividing them into two groups by hemor rhage area ratio ： one group is light （ observation group 1 ） , and the other one is severe （ observation group 2）. Com pared with the group of general abortion（ Control group 1 ） and the group of normal pregnancy（ Control group 2） ,and all cases of threatened abortion are treated with HCG and progesterone. Observe and record their pregnancy outcome and complication. Results The rate of spontaneous abortion of the observation group 1 is 11%, compared with the control group 1 which is 12% and the control group 2 which is 10% , the other observation indexes aren＇t statistical signifieanee（p 〉 0.05 ） except morbidity of gestational diabetes mellitus is higher in gestation period. The observation group 2 is compared with the control groupl and the control group 2, the incidence rates of the abortion rate, FGR, fe tal distress, oligohydramnios, gestational diabetes mellitus are all increase and have statistical significance （p 〈 0.05 ）. The observation group 1 is compared with observation group 2 that the Incidence rates of the abortion rate, FGR, fetal distress, oligohydramnios, gestational diabetes mellitus and pregnancy induced hypertension are all in creased and have statistical significanee（p 〈0. 05 ）. The compared result of index between the control group 1 and the control group 2 hasn＇t statistical significance （p 〉 0. 05 ）. Conclusion The probability of occurrence of pregnancy complications with threatened abortion patients of severe hemorrhage behind the fetal membranes is higher, so should be enhanced the nrenatal examination and he cared.
出处
《现代医院》
2012年第6期50-51,共2页
Modern Hospitals
关键词
胎膜后出血
先兆流产
妊娠并发症
Hemorrhage behind the fetal membranes, Threatened abortion, Pregnancy complications
