摘要
目的：探讨高龄孕妇妊娠结局与妊娠并发症的临床特点。方法选取2013年5月～2014年9月我院产科收治适龄产妇145例，根据孕妇年龄是否〉35岁分为高龄组（63例）和适龄组（82例），对两组产妇进行随访，比较妊娠结局及妊娠并发症发生率。结果高龄组初产妇产后出血、胎儿窘迫及胎膜早破不良妊娠结局发生率高于适龄组（36.00% vs 4.92%，44.00% vs 14.75%，36.00% vs 13.11%，P〈0.05）；两组经产妇不良妊娠结局发生率比较差异无统计学意义（P〉0.05）。高龄组初产妇前置胎盘、妊娠高血压、早产并发症发生率均高于适龄组（24.00%v s 1.64%，32.00%vs 3.28%，40.00%vs 4.92%，P〈0.05）；高龄组经产妇妊娠高血压并发症发生率高于适龄组（42.11%vs 4.76%，P〈0.05）。结论高龄初产妇妊娠并发症和不良妊娠结局发生率较高，临床中应针对性进行预防，保障母婴安全。
Objective To explore the clinical features of pregnancy outcomes in advanced age pregnant woman and pregnancy complications. Methods From May 2013 to September 2014,145 pregnant women in advanced age admitted into our hospital were selected.According to whether the age was over 35 years old or not,they were divided into ad-vanced age group （n=63） and appropriate age group （n=82）.The puerperae between two groups were followed up,and their pregnancy outcomes and incidence of pregnancy complications were compared. Results In the advanced age group,the incidences of postpartum hemorrhage,fetal distress,and premature rupture of fetal membranes in primiparae were higher compared with that in appropriate group at proportions of 36.00%v s 4.92%,44.00%v s 14.75%,and 36.00%v s 13.11% respectively （P〈0.05）.There was no statistical difference in incidences of adverse pregnancy outcomes in pluriparae.In the advanced age group,the incidence of complications like placenta previa,gestational hypertension,and premature delivery was higher in comparison with that in appropriate age group at proportions of 24.00% vs 1.64%, 32.00% v s 3.28%,and 40.00% v s 4.92% （P〈0.05）.The incidence of gestational hypertension in pluripara was higher than that in appropriate age group at proportion of 42.11%v s 4.76%（P〈0.05）. Conclusion The incidences of pregnancy complications and adverse pregnancy outcomes in primipara at advanced age.Targeted prevention in clinic is necessary in order to guarantee maternal and child safety.
出处
《中国当代医药》
2015年第29期89-91,共3页
China Modern Medicine
关键词
高龄孕妇
妊娠结局
并发症
临床分析
Primipara at advanced age
Pregnancy outcome
Complication
Clinical analysis
