摘要
目的探讨不同程度的胎盘早剥对母儿预后的影响。方法选取2013年1月～2017年12月在我院确诊并分娩的96例胎盘早剥孕妇的临床资料,其中轻度胎盘早剥有70例,重度胎盘早剥有26例,对比分析两种不同程度胎盘早剥对母儿预后的影响。结果重度胎盘早剥组产后出血发生率为65.38%、胎盘卒中发生率为53.85%、休克发生率为19.23%、新生儿死亡发生率为15.38%、新生儿窒息发生率为38.46%,轻度胎盘早剥组产后出血发生率为27.14%、胎盘卒中发生率为17.14%、休克发生率为1.43%、新生儿死亡发生率为0、新生儿窒息发生率为2.86%,两组比较差异有统计学意义(P <0.05)。结论胎盘早剥的严重程度与母儿预后密切相关,临床医师应高度重视,积极采取合理措施对母儿结局进行改善。
Objective To explore the effect of different degrees of placental abruption on maternal and fetal prognosis.Methods Clinical data of 96 pregnant women with placental abruption who were diagnosed and delivered in our hospital from January 2013 to December 2017 were collected.Among whom,there were 70 cases of mild placental abruption and 26 cases of severe placental abruption.The effects of two different degrees of placental abruption on maternal and fetal prognosis were compared and analyzed.Results In the severe placental abruption group,the incidence of postpartum hemorrhage was 65.38%,the incidence of placental stroke was 53.85%,the incidence of shock was 19.23%,the incidence of neonatal death was 15.38% and the incidence of neonatal asphyxia was 38.46%.In the mild placental abruption group,the incidence of postpartum hemorrhage,placental stroke,shock,neonatal death and neonatal asphyxia were respectively 27.14%,17.14%,1.43%,0 and 2.86% respectively.The difference between the two groups was statistically significant(P<0.05).Conclusion The severity of placental abruption is closely related with maternal and fetal prognosis.Clinicians should attach great importance to it and take reasonable measures to improve the outcomes of mothers and children.
作者
方胜英
FANG Shengying(Macheng Maternal and Child Health Hospital,Macheng 438300,China)
出处
《中国医药科学》
2019年第2期104-106,共3页
China Medicine And Pharmacy
关键词
胎盘早剥
严重程度
母儿预后
母婴不良结局
Placental abruption
Severity
Maternal and fetal prognosis
Maternal and fetal adverse outcomes
