摘要
目的探讨不同类型前置胎盘与妊娠结局的关系,以及对围生儿的影响。方法对81例前置胎盘产妇的临床资料进行回顾性分析。结果三种类型置胎盘发生产前出血、胎盘粘连/植入、产后出血的比例组间比较差异均有统计学意义(P<0.05)。中央型前置胎盘早产率59.3%,明显高于部分型(26.3%)和边缘型(6.3%),差异有统计学意义(P<0.05);中央型和部分型患者前置胎盘发生新生儿窒息的比率差异无统计学意义(P>0.05),中央型前置胎盘发生1例死产,其他2组未发生围生儿死亡情况。结论前置胎盘类型与临床相关情况、妊娠结局关系密切,应根据不同类型及其风险,做好充分而科学的产科处置,以改善母儿预后。
Objective To investigate the relationship between different types of placenta and the outcome of pregnancy and the effects on the fetus. Methods The clinical data of 81 patients with placenta were retrospectively analyzed. Results The difference between three groups in the proportion of hemorrhage, placenta adhesion /implantation and postpartum hemorrhage were statistically significant （P〈0.05）. The rate of premature births in central type of placenta was 59.3%, which was significantly higher than other types （26.3%） and edge type （6.3%）, the difference was statistically significant （P〈0.05）;the difference of neonatal asphyxia rate between central type of placenta and peripheral type was not statistically significant （P〉0.05）.There was 1 case of stillbirth in central type of placenta, the other two groups did not occur perinatal death. Conclusion The type of placenta has a close relationship with the clinical situation and the outcome of pregnancy, clinical should treat fully and scientifically for it based on the different types and risks, so as to improve the prognosis of mother and infant.
出处
《基层医学论坛》
2016年第17期2321-2322,共2页
The Medical Forum
关键词
前置胎盘
妊娠结局
围生儿
相关性
Placenta placenta Pregnancy outcome Perinatal fetus Dependency
