摘要
目的研究和探讨前置胎盘发病的相关因素,为临床提出治疗方案、提高预后提供有效依据。方法前置胎盘患者110例,列入研究组;同期健康妊娠妇女120例,列入对照组;分别对两组患者妊娠史、分娩相关因素、胎儿预后进行统计比较;并比较中央型、部分型和边缘型前置胎盘患者发生率及临床平均出血量。结果研究组患者孕次、产次、流产次数、剖宫产次数明显低于对照组,数据经统计学比较差异具有统计学意义(P<0.05)。研究组患者产前出血率、产后出血率、胎位异常发生率、剖宫产率明显高于对照组,数据经统计学比较差异具有统计学意义(P<0.05)。研究组胎儿生长受限、宫内窘迫、早产儿、围生儿死亡发生率明显高于对照组(P<0.05),新生儿窒息尤其显著高于对照组(P<0.01)。边缘型前置胎盘的发病率相对较高,中央型前置胎盘临床出血量较高。结论前置胎盘的发生与产妇孕产次、流产次数等有关,患者产前产后出血量大、胎儿预后差,临床应详细了解患者孕产史,并密切观察临床出血情况,建议试行阴道分娩,并提前作好转行剖宫产的准备。
Objective To study and explore the incidence of placenta previa for clinical treatment programs to improve the prognosis to provide an effective basis.Methods One hundred and ten cases of placenta previa patients included in the study group;the same period 120 cases of healthy pregnant women included in the control group;The history of the two groups of patients with pregnancy,childbirth-related factors and fetal outcome were statistical compared;And central part of theand edge in patients with placenta previa incidence and clinical average amount of bleeding was compared.Results The pregnancy,parity,number of abortions,cesarean section frequency in study group was significantly lower than the control group,the data was statistically significant differences（P0.05）.The antepartum hemorrhage rate,the rate of postpartum hemorrhage,abnormal fetal position,the incidence of cesarean section rate in study group was significantly higher,the data was statistically significant differences（P0.05）.The fetal growth restriction,fetal distress,premature children,perinatal death rate in study group was significantly higher（P0.05）,neonatal asphyxia was significantly higher in particular（P0.01）.Borderline placenta previa,the incidence was relatively high,higher central placenta previa clinical bleeding.Conclusion The occurrence of placenta previa and maternal motherhood,abortion frequency,large amount of bleeding in patients with prenatal and postnatal fetal poor prognosis,clinical detailed understanding of patients with pregnancy history,and close observation of clinical bleeding,suggested the introduction of vaginal deliveryand make the switch to cesarean section preparation in advance.
出处
《中国当代医药》
2012年第24期48-49,51,共3页
China Modern Medicine
关键词
前置胎盘
相关因素分析
治疗方案
预后分析
Placenta previa
Realated factor analysis
Treatment options
Prognosis analysis
