摘要
目的:探讨前置胎盘终止妊娠的时间对产后出血和新生儿预后的影响。方法:回顾性分析2000年1月-2003年6月214例不同类型前置胎盘病例,按终止妊娠时间分为Ⅰ组(孕36周前终止妊娠者60例)和Ⅱ组(孕36周后终止妊娠者154例),对其产前和产后出血率、产后出血量、新生儿窒息率和围产儿死亡率进行比较。结果:Ⅰ组产前出血率为81.67％、产后出血率为20.00％、平均产后出血量为(473±76.2)ml、新生儿窒息率为2.78％、围产儿死亡率为1.4％;Ⅱ组产前出血率为26.67％、产后出血率为11.69％、平均产后出血量为(297.5±22.1)ml、新生儿窒息率和围产儿死亡率均为0,两组差异具显著意义(P<0.01)。结论:剖宫产术仍然是前置胎盘终止妊娠的主要方式,孕36周或36周之前即终止妊娠并不能降低产后出血率及产后出血量,而选择适当的终止妊娠时间是减少产后出血和提高围产儿存活率的关键。
Objective: To investigate the influence of the time of termination of pregnancy for placenta previa on the postpartum hemorrhage and newborn infants' prognosis. Methods: 214 patients with placenta previa admitted from January 2000 to June 2003 were reviewed retrospectively. According to the time of termination of pregnancy, patients were divided into 2 groups: group Ⅰ, before 36 weeks' gestation, group Ⅱ, after 36 weeks' gestation. Peripartum hemorrhage rate, postpartum blood loss, maternal and perinatal mortality were analyzed between the two groups. Results: Antipartum hemorrhage rate, postpartum hemorrhage rate、postpartum blood loss and perinatal mortality in group Ⅰ were 81.67%, 20%, (473±76.2) ml and 1.4%, respectively, 26.67%, 11.69%, (297.5±22.1) ml and 0 in group Ⅱ with significant difference between the two groups. Conclusion: Caesarean section was still the main method to terminate the pregnancy for patients with placenta previa; It can't be concluded that reduce the postpartum hemorrhage rate and postpartum blood loss if terminated the pregnancy before 36 weeks' gestation; Selecting an appropriate time of terminaiion of pregnancy is the key to reduce the postpartum hemorrhage and perinatal mortality.
出处
《中国妇幼保健》
CAS
2004年第7X期43-44,共2页
Maternal and Child Health Care of China
关键词
前置胎盘
产后出血
剖宫产
新生儿
预后
<Keyword>Placenta previa
Postpartum hemorrhage
Caesarean section
Newborn
Prognosis
