摘要
目的:探讨重度子痫前期并发胎盘早剥的临床特征。方法:选择本产科收治的40例重度子痫前期并发胎盘早剥患者作为研究对象,将其设为观察组,另选40例重度子痫前期未并发胎盘早剥的患者作为对照组,对比分析两组患者的临床特征、分娩结局、母婴结局等。结果:观察组血性羊水、胎儿窘迫、宫腔积血、平均动脉压>130 mm Hg、尿蛋白>+++、脐血流异常的发生率明显高于对照组;观察组剖宫产率为90.0%,明显高于对照组的52.5%;观察组早产率为87.5%,明显高于对照组的60.0%;观察组新生儿窒息、死胎、产后出血、DIC、胎盘卒中的发生率明显高于对照组,比较差异均有统计学意义(P<0.05)。结论:(1)重度子痫前期并发胎盘早剥会严重影响母婴结局,脐血流异常、血性羊水、宫腔积血、血压升高等是其主要临床特征;(2)对于存在重度子痫前期的孕妇通过给予早期预防和积极有效的治疗措施,可有效降低胎盘早剥率,对改善母婴结局具有重要意义;(3)对已经存在胎盘早剥情况的重度子痫前期孕妇,应尽早结束妊娠,以保证孕妇生命安全。
Objective： To investigate clinical features of severe preeclampsia complicated with placental abruption. Method： Forty patients with severe preeclampsia complicated with placental abruption admitted by the Department of Obstetrics and Gynecology Hospital were selected as research subjects, who were divided into observation group, and another 40 patients with severe preeclampsia free from being complicated with placental abruption were divided into control group, clinical features, delivery outcomes, and maternal-infant outcomes between the two groups were compared and analyzed. Result： The incidence of bloody amniotic fluid, fetal distress, mean arterial pressure and uterus cavity hemorrhage 〉 130 mm Hg, urinary protein 〉 ＋＋＋, and abnormal umbilical cord blood flow of the observation group was significantly higher than that of the control group （ P〈0.05 ） . The rate of cesarean delivery of the observation group was 90.0%, which was obviously higher than 52.5% of the control group. The preterm birth rate of the observation group was 87.5%, which was higher than 60.0% of the control group （ P〈0.05 ） . The incidence of neonatal asphyxia, stillbirth, postpartum hemorrhage, DIC, placenta stroke and hysterectomy of the observation group was significantly higher than that of the control group, the differences were statistically significant （ P〈0.05 ） . Conclusion： （ 1 ） Severe preeclampsia complicated with placental abruption will seriously impact the maternal-infant outcome, typically demonstrating clinical features including abnormal umbilical artery flow, bloody amniotic fluid, uterus cavity hemorrhage and elevated blood pressure. （ 2 ） Early prevention and effective treatment measures for pregnant women with severe preeclampsia can effectively reduce the rate of placental abruption, being of great significance in improving the maternal-infant outcome. （ 3 ） Pregnant women with severe preeclampsia undergoing placental abruption shall end the pregnancy as soon as possibl
出处
《中国医学创新》
CAS
2016年第1期25-28,共4页
Medical Innovation of China
关键词
重度子痫前期
胎盘早剥
临床特征
Severe preeclampsia
Placental abruption
Clinical features
