摘要
目的通过观察前置胎盘期待疗法的临床效果,探讨其可行性。方法将2000年1月2007年12月住院分娩的前置胎盘患者90例中因出血、自发子宫收缩、孕足月、孕妇要求而剖宫产终止妊娠30例作为对照组,其余60例作为观察组进行期待疗法,比较两组患者在分娩孕周、产前产后出血量、产褥感染、围生儿体质量、Apgar评分、病死率、呼吸窘迫综合征等方面上的差异,并进行统计学处理。结果两组产前出血无差异;期待治疗组产后出血少、孕周延长、产褥感染少、新生儿体质量增加、Apgar改善、RDS及死亡下降,有显著性差异。结论在严密监测下期待治疗前置胎盘能在确保母婴安全的前提下,延长孕龄、改善存活儿的预后、降低围生儿死率,具有可行性。
Objective To study the clinic effect and feasibility of expectant treatment of placenta previa. Methods 90 cases of placenta previa delivered in hospital from January 2000 to December 2007 were divided into two groups:control group,30 cases of placenta previa were terminated pregnancy by uterine-incision delivery because of bleeding,spontaneous uterine contraction, or full term to pregnancy; observation group,the other 60 cases of placenta previa received expectant treatment.The delivery gestational weeks,a...
关键词
前置胎盘
期待疗法
分娩
可行性
Placenta previa
Expectant treatment
Dilivery
feasibility
