摘要
目的:探讨胎盘早剥的高危因素及对母婴的影响。方法:回顾性分析我院妊娠晚期胎盘早剥的发病情况、产前检查情况和母婴结局。结果:在5 664例住院分娩产妇中,胎盘早剥38例(0.67%),合并妊娠期高血压疾病11例(28.95%),是胎盘早剥的首发病因,其次为胎膜早破、外伤、胎位异常、疤痕子宫、脐带过短、双胎、羊水过多及其他不明原因。患者进行产前检查≥5次和0～4次者胎盘早剥的发生率明显低于无产前检查者;流动人口的胎盘早剥的发病率明显高于本地人口。结论:预防是降低胎盘早剥发病率的关键,加强孕期宣教,提高流动人口的产前检查率;及早发现妊娠期并发症,积极治疗妊娠期高血压疾病。
Objective：To study the risk factors,outcomes and prevention of placental abruption.Methods：38 cases of placental abruption in our hospital from 2006 to 2009 were retrospectively analyzed on morbidity,antenatal examinations and outcomes.Results：Among 5 664 parturients of hospitalized delivery,38 cases（0.67%） were placental abruption.11 cases（28.95%） were hypertensive disorder complicating pregnancy,which was the initial predisposing cause,followed by premature rupture of membranes,trauma,abnormal fetal positions,scarred uterus,short umbilical cord,twins,polyhydramnios and other undefined causes.The incidence of placental abruption in parturients with antenatal examination≥5 times and 0-4 times was obviously lower than that without antenatal examination.The incidence of placental abruption was higher in floating populations than that in locals.Conclusion：Prevention is the key to reduce the incidence of placental abruption.Antenatal monitoring of floating populations,early discovery and proper handling of pregnancy-associated diseases and other methods are advised.
出处
《现代医药卫生》
2011年第2期192-194,共3页
Journal of Modern Medicine & Health
关键词
胎盘早剥
高危因素
产前检查
妊娠期高血压疾病
Placental abruption
High risk factor
Antenatal examination
Hypertensive disorder complicating pregnancy
