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初产妇前置胎盘危险因素和妊娠结局调查 被引量:6

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摘要 目的分析初产妇前置胎盘的危险因素,并比较初产妇与经产妇的妊娠结局。方法回顾性分析2015年6月-2018年10月温州医科大学附属第一医院240例前置胎盘产妇的临床资料,其中初产妇55例,经产妇185例。比较两组社会人口数据、产科数据、产妇结局及新生儿结局。结果健康产妇与前置胎盘产妇社会人口数据比较差异均无统计学意义(均P>0.05),健康产妇与前置胎盘产妇临床数据(人工辅助受孕、子宫内膜异位症、不孕史)比较差异均有统计学意义(均P <0.05)。初产妇与经产妇的年龄、文化程度、人工辅助受孕、子宫内膜异位症发生率比较差异均有统计学意义(均P<0.05)。初产妇与经产妇的入院孕周及前置胎盘类型比较差异均有统计学意义(均P<0.05)。初产妇与经产妇分娩孕周、失血量、胎盘增生及胎盘植入发生率比较,差异均有统计学意义(均P<0.05)。初产妇与经产妇新生儿1 min Apgar评分比较差异有统计学意义(P<0.05)。结论人工辅助受孕和子宫内膜异位症为初产妇前置胎盘的高危因素,了解初产妇的潜在妊娠风险有助于临床指导和治疗。
作者 林丹 林艳琼
出处 《中国妇幼保健》 CAS 2020年第23期4567-4569,共3页 Maternal and Child Health Care of China
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