摘要
目的探讨极高龄产妇的妊娠结局。方法回顾性分析2011-06/2016-06月年龄≥45岁在作者医院分娩的极高龄产妇59例作为观察组,同时选取同期年龄20~34岁的产妇200例作为对照组。比较2组产妇的一般情况、合并症、并发症、围生儿结局及分娩方式。结果观察组在妊娠期高血压疾病、妊娠糖尿病(gestational diabetes mellitus,GDM)/糖尿病(diabetes mellitus,DM)、早产、前置胎盘、胎盘植入、子宫肌瘤、贫血、不孕史、新生儿畸形的发生率与对照组相比,差异有统计学意义(P<0.05);而在产后出血、胎膜早破、羊水量异常、巨大儿、胎儿窘迫、新生儿窒息、围生儿死亡及低体质量儿的发生率与对照组比较,差异无统计学意义(P>0.05)。结论 45岁以上极高龄孕产妇合并症及并发症多,不孕史及新生儿畸形发生率高,应重视其围产期保健,早识别、早诊断、早处理妊娠合并症及并发症,尽早发现胎儿畸形,促进母婴健康安全。
Objective To investigate the pregnancy outcome of elderly parturient women.Methods Fifty-nine elderly parturient women over 45 years old in authors,hospital from June 2011 to June 2016 were retrospectively analyzed and researched as observation group,and at the same time,200 pregnancy women over 20 years old less than 34 years were selected in the same period as control group.The general situation,complications,perinatal outcomes and delivery mode in two groups were compared.Results The incidences of hypertensive disorder complicating pregnancy,gestational diabetes mellitus/diabetes mellitus（GDM/DM）,premature,placenta previa,placenta accreta,uterine fibroids,anemia,infertility and neonatal malformations were compared between two groups with significant difference（P〈0.05）.The postpartum hemorrhage,premature rupture of membranes,abnormal amniotic fluid volume,macrosomia,fetal distress,neonatal asphyxia,perinatal death and incidence of low birth weight infants were no significant difference between two groups（P〉0.05）.Conclusion Parturient women over 45 years old have more complications,higher incidence rate of infertility and malformed neonate,and more attentions of perinatal care should pay to them.Identification,diagnosis,pregnancy complications treatment and detection of neonate malformation early will promote the health and safety of mothers and infants.
出处
《华南国防医学杂志》
CAS
2017年第3期178-180,共3页
Military Medical Journal of South China
关键词
极高龄产妇
妊娠结局
临床分析
Elderly parturient women
Pregnancy outcome
Clinical analysis
