摘要
目的:探讨前置胎盘发生的危险因素及其对母儿转归的影响。方法:对本院产科收治的70例前置胎盘患者(研究组)和同期收治的60例健康孕产妇(对照组)的临床资料进行分析,分析前置胎盘发生的危险因素及其对母儿转归的影响。结果:两组患者年龄、子宫畸形史、流产次数、分娩史、剖宫产史、盆腔炎史间比较,差异具有统计学意义(P<0.05)。Logistic回归分析发现高龄(OR=3.301)、多次流产史(OR=6.614)、子宫畸形史(OR=6.172)及剖宫史(OR=4.549)的患者出现前置胎盘的危险性相对较高。研究组与对照组在母儿转归中,胎盘粘连、胎盘植入、剖宫产、产后出血、出生体重、1minApgar评分、新生儿窒息比较,差异有统计学意义(P<0.05)。结论:年龄、子宫畸形史、流产次数、剖宫产史是前置胎盘发生的高危因素,应从源头控制前置胎盘的发生,有针对性地降低孕前置胎盘危险因素的暴露率。
Objective ： To investigate the high risk factors of placenta previa and its effects on pregnancy outcome.Method ： 70 pregnant and parturient women with placenta previa were chosen as study group and 60 pregnant and parturient women without placenta previa were chosen as the control group. Result ： There were significant differences in age, abortion, with history of uterine malformation, childbearing, cesareau section and pelvic inflammatory between the two groups （ P〈0.05 ） .Factors significantly associated with development of placenta previa were old age （ OR=3.301 ）, abortions （ OR=6.614 ）, history of uterine malformation （ OR=6.172 ） and cesarean section （ OR=4.549 ） . There were significant differences in placenta aceret, cesarean section, postpartum hemorhage, birth weight, first minute Apgar scores, neonatal asphyxia between the two groups （P〈0.05） . Conclusion ： The high risk factors for placenta previa were old age, abortions, history of uterine malformation and cesarean section. It needs to prevent placenta previa from the roots of family planning and reduce the high risk factors for placenta previa.
出处
《中国医学创新》
CAS
2012年第35期29-31,共3页
Medical Innovation of China
关键词
前置胎盘
高危因素
围产儿结局
Placenta previa
Risk factors
Neonatal outcome
