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高龄产妇初产和经产妊娠结局观察 被引量:11

OBSERVATION OF THE PREGNANCY OUTCOME OF PRIMIPARITY AND MULTIPARITY AMONG THE ELDERLY LYING-IN WOMEN
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摘要 [目的]了解近5年来高龄初产妇和高龄经产妇在发生率、妊娠期并发症、合并症及围产儿并发症的情况。[方法]对我院2002年01月~2006年12月5年间住院分娩的高龄产妇892例进行回顾性分析。[结果]22605例产妇中高龄初产妇325例,发生率1.44%,高龄经产妇657例,发生率2.91%,两组发生率均呈逐年上升趋势,且经产妇比初产妇增加明显;在胎儿窘迫、妊娠合并子宫肌瘤方面差异有统计学意义;在早产、新生儿窒息方面差异有统计学意义。[结论]加强对高龄孕产妇特别是流动人口中的高龄经产妇进行孕期检查、管理,降低妊娠期和围产儿并发症。 [Objective] To investigate the incidence of primiparity and multiparity, complication during gestational period among the elder lying-in women and complication of perinatal infants. [Methods] The clinical data of elderly lying-in women in our hospital from Feb 2002 to Dec 2006 were retrospectively analyzed. [ Results] 325 elder lying-in women were found in 22 605 pregnant women with incidence of 1.44%. and there were 657 elder multiparous lying-in women with incidence of 2.91%, which both showed an increasing trend. The increasing trend of elder multiparous lying-in women was significantly higher than that of lying-in primiparous women ; Significant difference was found between elder primiparous and multiparous lyingin women on fetal distress and gestational myoma of uterus (P 〈 0.05). Also, the significant difference was observed on premature delivery and fetal asphyxia. [ Conclusion] We should strengthen the pregnant examination for elderly lying-in women in order to decrease the complication of infants during gestation and perinatal period, especially for elder muhiparous women among fluid population.
出处 《现代预防医学》 CAS 北大核心 2008年第18期3527-3528,共2页 Modern Preventive Medicine
关键词 高龄初产 高龄经产 高危因素 Elderly pdmiparous woman Elderly multiparous woman High risk factor
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