摘要
目的探讨未足月胎盘早剥行保守治疗的临床价值。方法选择我院收治的0~Ⅰ级未足月胎盘早剥患者69例,根据治疗方式的不同将其分为其保守治疗36例,非保守治疗33例,比较两组患者的分娩方式和母婴结局。结果与非保守治疗组比较,保守治疗组患者分娩孕龄延长,新生儿体重增加,新生儿重度窒息发生率和病死率降低,差异均有统计学意义（P均〈0.05）,而两组新生儿轻度窒息发生率、剖宫产率和产后出血、弥散性血管内凝血及急性肾功能衰竭的发生率比较,差异无统计学意义（P〉0.05）。结论 0~Ⅰ级未足月胎盘早剥患者可行保守治疗,能够延长孕龄,增加新生儿体重,减少重度窒息发生率,降低新生儿病死率。
treatment of premature placental abruption. Methods 69 pregnant women who were diagnosed as 0 to Ⅰ level of premature placental abruption and treated in our hospital were recruited in this study,according to the treatment methods,they were assigned into conservative treatment group（36 patients） and non-conservative treatment group（33 patients）,the delivery mode and pregnancy outcomes of the two groups were compared. Results Compared with the non-conservative treatment group,the pregnant weeks and neonatal weight were increased and the incidence of severe neonatal asphyxia and neonatal death were decreased in conservative treatment group,the differences were statistically significant（P〈0.05）,incidence of mild asphyxia newborn,cesarean section rate and postpartum hemorrhage,diffuse intravascular coagulation,and the incidence of acute renal failure of two groups had no statistically significant difference（P〉0.05）. Conclusion The patients with 0 to Ⅰ level of premature placental abruption can be treated by conservative method. The conservative treatment method has a positive effect in extending the pregnant weeks,increasing the neonatal weight and decreasing the incidence of severe neonatal asphyxia and neonatal death.
出处
《中国继续医学教育》
2016年第1期112-113,共2页
China Continuing Medical Education
关键词
胎盘早剥
早产
保守治疗
母婴结局
Placental abruption
Premature
Conservative treatment
Pregnancy outcomes
