摘要
目的探讨富阳市早产发生现状、危险因素及早产儿的结局。方法对243例早产产妇临床资料和早产儿结局进行分析。结果本次调查早产发生率为7.33%(243/3 316),以晚期早产占比最高(P<0.05),早期早产以自发性早产为主要原因,中期早产和晚期早产均以医源性早产为主要原因,晚期早产胎儿出生体重最大(P<0.05)。胎膜早破、胎盘位置异常、孕期产妇/丈夫吸烟、孕期阴道流血是早产发生的危险因素,孕期体重增加是早产发生的保护因素(P<0.05)。早期早产的早产儿治愈率较中期早产、晚期早产低,放弃治疗和死亡率均较中期早产、晚期早产高(P<0.05),医源性早产死亡率高于自发性早产、PPROM(P<0.05)。结论早期早产的新生儿死亡率更高,应减少医源性早产,积极预防PPROM、胎膜早破、胎盘位置异常,避免孕期吸烟、孕期阴道流血及低体重是降低早产发生率的重要措施。
Objective To investigate the preterm status quo and risk factors for it, and prognosis of premature in Fuyang City. Methods Analyzed clinical data of 243 premature maternal and outcome of preterm. Results The preterm birth rate was 7.33% （243/3 316）, the proportion of late preterm was highest（P 〈 0.05）, early preterm spontaneous preterm birth as the main reason the mid-preterm and late preterm birth were iatrogenic preterm birth as the main reason for the late preterm birth weight（P 〈 0.05）. Premature rupture of membranes, abnormal position of the placenta during pregnancy maternal/husband smoking, vaginal bleeding during pregnancy were premature birth risk factors, weight gain during pregnancy were preterm birth protective factors （P 〈 0.05 ）. Cure rate of early preterm birth in preterm infants compared with the mid-preterm and late preterm low to give up the treatment and mortality compared with the mid-preterm and late preterm （P 〈 0.05 ）, iatrogenic premature mortality than spontaneous preterm birth and PPROM （P 〈 0.05）. Conclusion The higher the neonatal mortality rate of early preterm delivery, should reduce iatrogenic preterm birth, actively prevent PPROM, premature rupture of membranes and abnormal placental position to avoid smoking during pregnancy, vaginal bleeding during pregnancy and low birth weight might reduce preterm improve treatment an important measure rate.
出处
《中国现代医生》
2012年第33期21-23,共3页
China Modern Doctor
关键词
早产
危险因素
预后
Premature
Risk factors
Prognosis
