摘要
目的探讨加强高龄孕妇的孕期规范管理，降低母儿不良妊娠结局的发生率。方法选择2014年6月～2015年5月在我院行孕期保健并分娩的高龄孕妇260例作为观察组，选择同期未系统进行孕期保健随机门诊就诊且在我院分娩的高龄孕妇249例作为对照组。研究分析两组孕妇的孕产期合并症、并发症的发生率及围生儿情况。结果孕妇系统进行产前检查及加强保健，观察组孕产妇妊娠期高血压疾病等大部分病理妊娠发生率低于对照组（P〈0．05），围生儿不良结局低于对照组（P〈0．05），少部分病理妊娠发生率两组虽无明显差异（P〉0．05）。但母婴预后好于对照组，差异有统计学意义（P〈0．05）。结论为降低高龄孕产妇的不良妊娠结局，对高龄孕妇进行系统管理是必要的。
Objective To discuss the effect of strengthening standard management of advanced maternal age （AMA） during pregnancy in order to reduce the incidence rate of maternal and fetal adverse pregnancy outcomes. Methods 260 AMA patients treated and delivering in our center from June 2014 to May 2015 were selected as the observation group, and another 249 AMA outpatients without systematic antenatal care but delivering in our center were selected as the control group. The incidence rates of pregnant and puerperal period complications and conditions of perinatal infants were analyzed in both groups. Results With systematic antenatal examinations and strengthening health care, the inci- dence rates of most pathological pregnancies such as hypertensive disorder complicating pregnancy were significantly lower in the observation group than in the control group （P〈0.05）. The incidence rate of adverse outcomes of perinatal infants was significantly lower in the observation group than in the control group（P〈0.05）. There were no significant dif- ferences in a small amount of pathological pregnancies between two groups （P〉0.05）, but the prognosis of mothers and children was significantly better in the observation group than in the control group （P〈0.05）. Conclusion Systematic management for AMA is essential to reduce the incidence of adverse pregnancy outcomes.
出处
《中国现代医生》
2016年第20期48-50,53,共4页
China Modern Doctor
关键词
高龄孕妇
围生儿
孕期规范管理
妊娠结局
Advanced maternal age
Perinatal infant
Standard management during pregnancy
Pregnancy outcome
