摘要
目的探讨孕检因素对子痫前期发病的影响。方法选取于该院产科住院治疗的妊娠高血压孕妇160例,其中规律孕检妇女80例(规律组),非规律孕检妇女80例(非规律组),分析两组患者临床症状及与子痫前期发生相关的孕检因素。结果非规律孕检组的孕妇发生子痫前期、子痫、胎盘早剥、视神经炎、HELLP综合征和产后出血的概率高于规律孕检组(P<0.05)。非规律组中,轻度子痫前期者与重度子痫前期者比较,首次孕检孕周更早、孕检次数更多、间隔时间更短,差异均有统计学意义(P<0.05)。将上述孕检因素进行多元Logistic回归分析,结果显示,首次孕周、孕检次数和间隔时间是重度子痫前期发病的独立影响因素。结论非规律产检会增加患者不良妊娠结局和产后并发症,而且非规律产检者重度子痫前期的发生与首次产检孕周、孕检次数和间隔时间有关,所以坚持规律产检对顺利分娩具有重要意义。
Objective To investigate the influence of examination during pregnancy on the occurrence of preectampsia. Methods 160 cases of pregnant women with pregnancy induced hypertension were enrolled in the study,including 80 women who underwent regular examination during pregnancy（regular group）, and 80 women who did not（irregular group）. The clinical symptoms of the two groups and the factors related to the occurrence of preeclampsia were analyzed. Results In the irregular group, patients with mild preeclampsia start examination earlier, underwent examination more times and more often compared with those with severe preeclampsia,the difference was statistically significant（P〈0.05）. Results In the irregular group,the incidence of preeclampsia, eclampsia,placental abruption,optic neuritis, HELLP syndrome and postpartum hemorrhage was higher than that of the regular group（P〈0.05）. Multivariate Logistic regression analysis showed that the pregnant week when pregnant women underwent examination for the first time, the number of times and the interval time were independent influencing factors of severe preeclampsia. Conclusion Irregular examination during pregnancy examination will increase the adverse pregnancy outcomes of pregnant women and postpartum complications. The occurrence of severe preeclampsia in irregular group is correlated with the pregnant week when pregnant women underwent examination for the first time, the number of times and the interval time. Therefore, regular examination during pregnancy is of great significance to the smooth delivery.
出处
《检验医学与临床》
CAS
2016年第17期2449-2450,共2页
Laboratory Medicine and Clinic
关键词
非规律孕检
子痫前期
症状
相关性
irregular examination during pregnancy
preeclampsia
symptoms
correlation
