摘要
目的了解导致凶险性前置胎盘发生的危险因素。方法回顾性分析我院产科2013年1月至2017年12月收治的90例凶险性前置胎盘病例,统计生育年龄、分娩次数、剖宫产次数和人工流产次数,分析这5年凶险性前置胎盘发生率的变化情况以及导致凶险性前置胎盘的危险因素。结果 2013-2014、2015-2016和2017年的凶险性前置胎盘发生率分别为0.19%、0.36%、0.60%,两两比较差异均有统计学意义(P<0.05或0.01)。年龄≥35岁、分娩次数≥2次、剖宫产次数≥2次、有人工流产史产妇的凶险性前置胎盘发生率分别为4.78%、0.60%、3.90%、0.56%,相应高于年龄<35岁、分娩次数≤1、剖宫产次数≤1、无人工流产史产妇者(其凶险性前置胎盘发生率分别为0.25%、0.31%、0.19%、0.30%,P<0.05或0.01)。结论高龄产妇、分娩次数≥2、剖宫产次数≥2、有人工流产史是导致凶险性前置胎盘的危险因素。
Objective To explore the risk factors for the incidence of dangerous placenta previa. Methods A retrospective analysis was made on the 90 cases of dangerous placenta previa admitted and treated in the Obstetrics Department of our hospital from January 2013 to December 2017. The childbearing age, the number of deliveries, the number of cesarean sections and the number of induced abortions were counted and the change in the incidence of dangerous placenta previa before and after the implementation of two-child policy as well as the risk factors for dangerous placenta previa were analyzed. Results The incidence of dangerous placenta previa before the implementation of two-child policy, after the implementation of two-child policy for a couple with either from a single-child family and after the implementation of universal two-child policy was 0.19%, 0.36% and 0.60%, respectively, and there was statistical difference in the comparison between any two（P〈0.05 or 0.01）. The incidence of dangerous placenta previa in the parturients with an age of ≥35 years,with the number of deliveries of ≥2 times, with the number of cesarean sections ≥2 times and with a history of induced abortion was 4.78%, 0.60%, 3.90% and 0.56%, respectively, and that in the parturients with an age of 35 years, with the number of deliveries of ≤1 time, with the number of cesarean sections ≤1 time and without a history of induced abortion was0.25%, 0.31%, 0.19% and 0.30%, respectively（P〈0.05 or 0.01）. Conclusion Advanced maternal age（≥35 years）, the number of deliveries of ≥2 times and a history of induced abortion are risk factors for dangerous placenta previa.
作者
邱文山
黎法文
林小兰
邱柱雄
杨成丽
QIU Wen-shan;LI Fa-wen;LIN Xiao-lan;QIU Zhu-xiong;YANG Cheng-li(Lianjiang People＇s Hospital,Lianjiang 524400,China)
出处
《广东医科大学学报》
2018年第2期211-213,共3页
Journal of Guangdong Medical University
关键词
前置胎盘
诊断
影响因素
妊娠结局
placenta previa
diagnosis
influencing factors
pregnancy outcome
