摘要
目的分析比较深圳地区与湖南地区胎盘早剥发生的相关因素,以期找到深圳地区胎盘早剥发生的高危因素,为降低胎盘早剥的发生提供依据。方法深圳地区选择深圳市人民医院产科做为研究对象(研究组),湖南地区选择湖南省妇幼保健院产科做为研究对象(对照组),回顾性分析并总结两院2016年6月至2017年5月期间住院分娩并发生胎盘早剥的孕产妇的临床资料,就胎盘早剥发生率、分级、临床表现、实验室检查、胎盘病理、产妇及围产儿的结局等相关因素进行对比分析。结果研究组胎盘早剥发生率为0.56%,明显高于对照组的0.19%,差异有统计学意义(P<0.05);研究组出现妊娠合并症的患者16例(38.1%),明显多于对照组的4例(15.4%),差异有统计学意义(P<0.05)。研究组中有16例(38.1%)患者住院前已诊断为胎盘早剥,26例(61.9%)为住院保胎或分娩期间发生,对照组中住院前已诊断为胎盘早剥患者25例(96.2%),两组比较差异有统计学意义(P<0.05)。研究组中有24例患者合并有轻度贫血,而对照组无贫血者,两组比较差异有统计学意义(P<0.05)。研究组中的剖宫产率为57.1%,高于对照组的30.8%,差异有统计学意义(P<0.05)。产后胎盘病理检查中研究组有12例为绒毛膜羊膜炎,明显高于对照组(1例),差异有统计学意义(P<0.05)。结论深圳地区胎盘早剥发生率高可能与孕期贫血及感染的发生率高相关。纠正孕期贫血、及时排查可能的感染因素可能有助于降低深圳地区胎盘早剥的发生率。
Objective By comparing the related factors of placental abruption between Shenzhen and Hunan region,to find out the high risk factors of placental abruption in Shenzhen area,provide a basis for reducing the occurrence of placental abruption.Methods Department of Obstetrics,Shenzhen People’s Hospital were selected as the research object in Shenzhen area(research group),Department of Obstetrics,Hunan Provincial Maternal and Child Health Care Hospital were selected as the research object in Hunan area(control group).The clinical data of placental abruption from June 2016 to May 2017 was retrospectively analyzed and summarized in the two hospitals,and the incidence of placental abruption,classification,clinical manifestations,laboratory examination,placental pathology,maternal and infant outcomes,and other related factors were analyzed.Results The incidence of placental abruption in the research group was significantly higher than that in the control group(0.56%vs.0.19%)(P<0.05);There were 16 patients(38.1%)with pregnancy complications in the research group,which were significantly more than those in the control group(4 cases,15.4%),with statistically significant difference(P<0.05).There were 16 patients(38.1%)diagnosed as placental abruption before admission in the research group,26 cases(61.9%)were hospitalized or during childbirth;there were 25 patients(96.2%)diagnosed as placental abruption before admission in the control group,there was statistically significant difference between the two groups(P<0.05).There were 24 patients with mild anaemia in the research group,which was significantly higher than that in the control group,with statistically significant difference(P<0.05).The rate of cesarean delivery in the research group was significantly higher than that in the control group(57.1%vs.30.8%),with statistically significant difference(P<0.05).There were 12 cases of chorioamnionitis by postpartum placental pathologic examination in the research group,significantly more than that in the control group(1 case),w
作者
周翠香
郭晓辉
赵跃宏
杨敏
石苇
Zhou Cuixiang;Guo Xiaohui;Zhao Yuehong;Yang Min;Shi Wei(Department of Obstetrics,Shenzhen People’s Hospital,Shenzhen 518052,China;Department of Maternity Care,Hunan Provincial Maternal and Child Health Care Hospital,Changsha 410008,China)
出处
《国际医药卫生导报》
2019年第22期3708-3711,共4页
International Medicine and Health Guidance News
基金
深圳市人民医院三名工程临床研究/合作科研培育项目课题(SYJY201907)。
关键词
胎盘早剥
贫血
感染
Placental abruption
Anemia
Infection
