摘要
目的探讨高龄经产妇妊娠的临床特征及对妊娠结局的影响。方法回顾性分析自2011年1月-2015年6月该院产科收治的高龄经产妇97例（年龄≥35岁），作为研究组，另外选择同期该院产科非高龄经产妇101例，作为对照组。详细记录并统计分析所有产妇的基本信息、妊娠合并症及并发症、剖宫产率及新生儿的基本情况。结果研究组产妇妊娠期高血压疾病和妊娠期糖尿病的发生率明显高于对照组，差异具有统计学意义（χ^2值分别为4．305、4．907，均P〈0．05）；研究组产妇子宫肌瘤、胎盘早剥及胎膜早破的发生率显著高于对照组，差异具有统计学意义（χ^2值分别为6．029、4．948和7．922，均／9〈0．05）；而两组产妇的产后出血、前置胎盘及胎盘粘连的发生率之间的差异无统计学意义（，值分别为0．163、0．144，和0．163，均P〉0．05）；研究组产妇剖宫产分娩率（70．10％）明显高于对照组（25．74％），屉异有统计学意义（χ^2=39．047，P〈0．01）；研究组新生儿出现早产、巨大儿、新生儿窒息及胎儿生长受限的发生率明显高于对照组，差异有统计学意义（χ^2值分别为4．408、5．581、3．930和3．917，均P〈0．01）。结论高龄经产妇容易出现一系列的妊娠合并症及并发症，多采取剖宫产进行生产，对于新生儿的影响较大，临床上应加强高龄孕妇孕期的健康教育，确保母婴健康。
Objective To explore the clinical features of elderly multiparous women and the effect on pregnancy outcome. Methods Ninety-seven elderly muhiparous women were selected from Department of Obstetrics in the hospital from January 2011 to June 2015 as research group, 101 non-elderly muhiparous women were selected during the same period as control group. The maternal basic information, pregnancy complications, cesarean section rate, and basic situation of the neonates were recorded detailedly and analyzed statistically. Results The incidence rates of hypertensive disorder complicating pregnancy （HDCP） and gestational diabetes mellitus （ GDM） in research group were statistically significantly higher than those in control group （χ^2 =4. 305, 4. 907, P〈0.05） ; the incidence rates of uterine fibroids, placental abruption, and premature rupture of fetal membrane in research group were statistically significantly higher than those in control group （χ^2 = 6. 029,14. 948, 7. 922, P〈0.05 ） ; there was no statistically significant difference in the incidence rates of postpartum hemorrhage, placenta previa, and placenta adhesion between the two groups （χ^2 = 0. 163, 0. 144, 0. 163, P〉0. 05 ） ; the rate of eesgrean section in research group （70. 10% ）was staiistically significantly higher than that in control group （25.74%） （χ^2 = 39. 047, P〈0. 01） ; the incidence rates of preterm birth, macrosomia, neonatal asphyxia, and fetal growth restriction in research group were statistically significantly higher than those in control group （χ^2 =4. 408, 5. 581,3. 930, 3. 917, P〈0. 01 ） . Conclusion A series of pregnancy complications easily occur among elderly multiparous women, the effect of cesarean section on neonates is significant, health education for elderly multiparous women should be enhanced to ensure maternal and child health.
出处
《中国妇幼保健》
CAS
2016年第23期4971-4973,共3页
Maternal and Child Health Care of China
关键词
高龄
经产妇
妊娠
妊娠结局
Elderly
Multiparous woman
Pregnancy
Pregnancy outcome
