摘要
目的研究凶险型前置胎盘产妇与产前出血及妊娠结局相关性。方法回顾性分析该院2014年3月—2017年3月收治的138例前置胎盘产妇,其中86例凶险型前置胎盘产妇(观察组)和52例普通型前置胎盘产妇(对照组),统计观察组和对照组一般临床资料、合并症发生情况、围术期情况和妊娠结局情况。结果 (1)观察组平均年龄(35.6±2.5)岁,平均孕周(36.13±1.35)周,对照组平均年龄(33.1±3.7)岁,平均孕周(36.09±0.95)周,两组产妇在平均年龄和平均孕周方面差异无统计学意义(t=0.465、1.325,P=0.965、0.068);(2)观察组流产次数(1.35±0.65)次、对照组流产次数(0.38±0.013)次,两组相比差异有统计学意义(t=3.512,P=0.039);观察组怀孕次数(1.97±0.29)次,对照组怀孕次数(0.49±0.38)次,两组相比差异有统计学意义(t=1.628,P=0.046);(3)观察组产后产褥感染发生率22.09%,对照组发生率28.84%,两组相比差异有统计学意义(χ~2=19.512,P=0.059);观察组膀胱损伤发生率8.14%,对照组9.61%,两组相比差异无统计学意义(χ~2=10.687,P=0.061);观察组盆腔粘连发生率45.35%,对照组13.46%,两组相比差异有统计学意义(χ~2=2.344,P=0.001)。(4)观察组手术持续时间(1.69±0.05)h、对照组(0.98±0.18)h,两组相比差异无统计学意义(t=1.669,P=0.018);观察组出血量(609.8±59.65)mL,对照组(358.4±15.22)mL,两组相比无差异无统计学意义(t=6.987,P=0.027)。结论凶险型前置胎盘对孕产妇和新生儿有很大的伤害,造成孕产妇产前大量出血,容易出现胎儿的重度窒息甚至死亡,对围手术期有很高的要求。
Objective To study the relationship between sinister placenta previa and antepartum hemorrhage and pregnancy outcome.Methods A retrospective analysis of 138 cases of placenta previa in the hospital from March 2014 to March 2017,including 86 cases of sinister placenta previa(observation group)and 52 cases of common placenta placenta(control group).The general clinical data of the statistical observation group and the control group,the occurrence of comorbidities,perioperative conditions and pregnancy outcomes were compared.Results 1.The average age of the observation group was(35.6±2.5)years old,the average gestational age was(36.13±1.35)weeks,the average age of the control group was(33.1±3.7)years old,and the average gestational age was(36.09±0.95)weeks.The two groups of women did not exist significant differences in terms of mean age and average gestational age,(t=0.465,1.325,P=0.965,0.068);2.the number of abortions in the observation group was(1.35±0.65)times,and the number of abortions in the control group was(0.38±0.013)times.There was a significant difference between the two groups(t=3.512,P=0.039).The number of pregnancy in the observation group was(1.97±0.29)times,and the number of pregnancy in the control group was(0.49±0.38)times.There was a significant difference between the two groups(t=1.628,P=0.046).3.The incidence of postpartum puerperal infection was 22.09%in the observation group and 28.84%in the control group.There was no significant difference between the two groups(χ2=19.512,P=0.059).The incidence of bladder injury in the observation group was 8.14%,9.61%,there was no significant difference between the two groups(χ2=10.687,P=0.061);the incidence of pelvic adhesions in the observation group was 45.35%,and that in the control group was 13.46%.There was a significant difference between the two groups(χ2=2.344,P=0.001).4.The duration of operation in the observation group was(1.69±0.05)h and the control group was(0.98±0.18)h.There was significant difference between the two groups(t=1.669,P=0.018).The bleeding volume of the observation group was(609.8±59.65)mL,and the control group was(358.4±15.22)mL,there was no significant difference between the two groups(t=6.987,P=0.027).Conclusion The sinister placenta previa has great harm to pregnant women and newborns,causing a large number of prenatal bleeding,which is prone to severe asphyxia or even death of the fetus.It has high requirements for perioperative period.
作者
滕莉姿
李敏
TENG Li-zi;LI Min(Department of Obstetrics and Gynecology,Changgeng Hospital,Xiamen,Fujian Province,361000 China)
出处
《中外医疗》
2018年第29期41-43,共3页
China & Foreign Medical Treatment
关键词
凶险型前置胎盘
产前出血
妊娠结局
Sinister placenta previa
Prenatal bleeding
Pregnancy outcome
