摘要
目的:分析产科门诊高危孕产妇的高危原因和妊娠结局,并探讨孕产妇预防高危和解决高危的对策。方法:回顾性分析2016年1月6日-12月30日笔者所在医院收治196例孕产妇的临床资料,其中106例孕产妇为高危孕产妇,记为高危组;另外90例为正常健康孕产妇,记为正常组;对比两组患者的剖宫产率、新生儿窒息情况和产后出血情况。结果:排名前五的高危因素分别是妊娠期高血压疾病、瘢痕子宫、年龄>35岁、妊娠期合并妇科肿瘤、胎位异常。高危组孕产妇剖宫产率高于正常组,差异有统计学意义(X^2=9.546,P<0.05)。两组新生儿窒息和产后出血发生率比较,差异均无统计学意义(P>0.05)。结论:造成孕产妇高危的原因有很多,应加强对高危孕产妇的妊娠管理,尽早发现孕产妇高危情况并及时处理,以降低其剖宫产、新生儿窒息及产后出血发生率,有效地保证母婴健康。
Objective：To analyze the high-risk causes and pregnancy outcomes of high-risk pregnant women in obstetrical clinics,and to explore the high-risk and high-risk strategies for maternal prevention.Method：A retrospective analysis was conducted on the clinical data of 196 maternal patients admitted to our hospital from 6 th January 2016 to 30 th December 2016.Among them,106 pregnant women were at high risk,as the high risk group.The other 90 were normal healthy pregnant women,as the normal group.The cesarean section rate,neonatal asphyxia and postpartum hemorrhage were compared between the two groups.Result：The top five risk factors were hypertensive disorders in pregnancy,uterine scar,aged over 35,pregnancy combined with gynecologic tumor,abnormal fetal position.Maternal cesarean delivery rate in high risk group was higher than that in the normal group,and the difference was statistically significant（ X^2=9.546,P〈0.05）.There was no statistically significant difference between the two groups of neonatal asphyxia and postpartum hemorrhage（P〈0.05）.Conclusion：There are many reasons that cause high risk of maternal,should strengthen the management of high risk of maternal pregnancy,maternal high-risk situations,early detection and timely treatment,in order to reduce the incidence of cesarean section,neonatal asphyxia and postpartum hemorrhage,effectively ensure the maternal and child health.
出处
《中外医学研究》
2018年第6期57-58,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
高危孕产妇
高危原因
产科门诊
High-risk pregnant women
High-risk causes
Obstetric out-patient
