摘要
目的探讨育龄期孕妇发生胎盘早剥的相关危险因素。方法随机选取2018年3月—2020年3月在本院进行生产的育龄期孕妇344例,胎盘早剥者44例为观察组,其余300例为对照组。通过调查问卷及病历查询的方式收集其基本信息和临床资料。结合临床评估和诊断,应用单因素及多因素Logistic回归分析法,分析育龄期孕妇出现胎盘早剥的相关因素和独立危险因素。结果单因素分析发现妊娠高血压、子痫前期病史、胎膜早破、羊水过多等均是育龄期孕妇出现胎盘早剥的危险因素(P<0.05),经多因素回归分析显示妊娠高血压、胎膜早破、羊水过多等均是育龄期孕妇发生胎盘早剥的独立危险因素(P<0.05)。结论妊娠期高血压、胎膜早破、羊水过多等均是导致育龄期孕妇发生胎盘早剥的独立危险因素,在对疾病进行明确的诊断后,应高度警惕发生胎盘早剥的可能性,早期诊断早期治疗,以改善母婴预后。
Objective To explore the related risk factors of placental abruption in pregnant women.Methods 344pregnant women of childbearing age who gave birth in our hospital from March 2018 to March 2020 were selected,44cases with placental abruption in the observation group and 300 cases without placental abruption in the control group.The basic information and clinical data of the cases were collected by questionnaire and medical records inquiry.We used univariate and multivariate logistic regression analysis to analyze the related factors and independent risk factors of placental abruption in pregnant women of childbearing age.Results According to univariate analysis,gestational hypertension,history of preeclampsia,premature rupture of membranes and hydramnios were all related factors of placental abruption in pregnant women of childbearing age(P<0.05).Multivariate logistic regression analysis showed that gestational hypertension,premature rupture of membranes and hydramnios were independent risk factors for placental abruption in pregnant women of childbearing age(P<0.05).Conclusion Pregnancy-induced hypertension,premature rupture of membranes and polyhydramnios are all important factors leading to placental abruption in pregnant women of childbearing age.After definite diagnosis of the disease,We should pay attention to the possibility of placental abruption and early diagnosis and treatment should be given to improve the prognosis of pregnancy.
作者
秦凤芝
郭燕
庞婷婷
马俊丽
QIN Fengzhi;GUO Yan;PANG Tingting;MA Junli(Heze Municipal Hospital,Heze 274000,Shandong)
出处
《菏泽医学专科学校学报》
2022年第2期4-7,共4页
Journal of Heze Medical College
关键词
孕妇
胎盘早剥
危险因素
Pregnant women
Placental abruption
Risk factors