摘要
目的探究和分析高危妊娠中急性绒毛膜羊膜炎对妊娠结局的影响。方法选择某院自2016年1月至2018年1月收治的106例高危妊娠孕产妇患者作为研究对象,回顾性分析患者的临床资料,并依据其是否发生急性绒毛膜羊膜炎将其分成未发生急性绒毛膜羊膜炎组(60例)和发生急性绒毛膜羊膜炎组(46例),对比两组患者的临床资料、妊娠结局和围产胎儿结局。结果两组患者的年龄、孕次对比均无显著差异(P>0.05),但发生急性绒毛膜羊膜炎组患者的孕周(37.1±1.2)周明显低于未发生急性绒毛膜羊膜炎组(39.6±1.0)周,发生急性绒毛膜羊膜炎组患者的体温(39.6±0.8)℃、CRP水平(12.8±2.3)mg/L、白细胞计数(14.1±2.7)×10~9/L均明显高于未发生急性绒毛膜羊膜炎组(37.5±0.5)℃、(7.1±1.4)mg/L、(9.2±2.0)×10~9/L,发生急性绒毛膜羊膜炎组患者的早产发生率(60.9%)、产后出血发生率(37.0%)、剖宫产率(73.9%)、胎膜早破发生率(13.0%)及产褥感染发生率(45.7%)均明显高于未发生急性绒毛膜羊膜炎组(2.0%)、(8.3%)、(21.7%)、(1.7%)、(16.7%),发生急性绒毛膜羊膜炎组胎儿出生时的Apgar评分<7分率(47.8%)、宫内窘迫发生率(23.9%)、吸入性肺炎发生率(17.4%)、新生儿窒息发生率(13.0%)明显高于未发生急性绒毛膜羊膜炎组(13.3%)、(13.3%)、(1.7%)、(1.7%),两组对比差异显著(P<0.05)。结论高危妊娠中急性绒毛膜羊膜炎对母婴妊娠结局具有严重的不利影响,临床需尽早掌握疾病相关指征,并做好有效的防护措施,才能确保母婴妊娠安全。
Objective To explore and analyze the effects of acute chorioamnionitis on pregnancy outcome in high-risk pregnancies. Methods A total of 106 high-risk pregnancies and maternal patients admitted to a hospital from January 2016 to January 2018 were selected as the study subjects.The clinical data of the patients were retrospectively analyzed and classified according to whether or not they had acute chorioamnionitis. In the acute chorioamnionitis group （60 cases） and the acute chorioamnionitis group （46 cases）,the clinical data,pregnancy outcomes,and perinatal fetal outcomes between the two groups. Results There was no significant difference in age and parity between the two groups （P〉0.05）, but the incidence of gestational age （37.1± 1.2）weeks was significantly lower in patients with acute chorioamnionitis than in those without acute chorioamnionitis. At（39.6 ± 1.0） weeks, body temperature （39.6 ± 0.8） ℃, CRP level （12.8 ± 2.3）mg/L, white blood cell count （14.1 ± 2.7） ×10^9/L were significantly higher in patients with acute chorioamnionitis. The incidence of preterm birth in patients with acute chorioamnionitis was （37.5± 0.5） ℃, （7.1 ± 1.4）mg/L, （9.2 ± 2.0） × 10^9/L in the group without acute chorioamnionitis （60.9%） .The incidence of postpartum hemorrhage （37.0%）, cesarean section rate （73.9%）, incidence of premature rupture of fetal membranes （13.0%）, and incidence of puerperal infection （45.7%） were significantly higher than those without acute chorion In the group of amniotic inflammation （2.0%）, （8.3%）, （21.7%）, （1.7%）, （16.7%）, the Apgar score at the time of birth of the fetus in the acute chorioamnionitis group was〈7 points （47.8%）.The incidence of intrauterine distress （23.9%）, the incidence of aspiration pneumonia （17.4%）, and the incidence of neonatal asphyxia （13.0%）were significantly higher than those in the group without acute chorioamnionitis （13.3%）, （13.3%）, （1.7%）, （1
作者
高秀菊
Gao Xiuju(Fengtai District Maternal and Child Health Hospital,Beijing 100067,China)
出处
《中国病案》
2018年第8期99-101,共3页
Chinese Medical Record
关键词
高危妊娠
急性绒毛膜羊膜炎
妊娠结局
影响
母婴
High-risk pregnancy
Acute chorioamnionitis
Pregnancy outcome
Impact
Mother and child First-author＇s address Fengtai District Maternal and Child Health Hospital
Beijing 100067
China
