摘要
目的分析高龄产妇临床妊娠情况。方法回顾性分析2013年10月至2014年4月濮阳市人民医院妇产科1 113例产妇的临床资料,按照年龄分为高龄产妇组(≥35岁)320例和适龄产妇组(<35岁)793例,比较两组产妇忧郁情绪和焦虑情绪评分、剖宫产率、妊娠合并症与分娩期并发症发生率及妊娠结局。结果高龄产妇组忧郁情绪评分和焦虑情绪评分[分别为(56.7±12.3)、(60.2±13.4)]明显高于适龄产妇组[分别为(34.1±9.5)、(31.8±10.2)](P<0.05),高龄产妇组剖宫产率、妊娠合并症发生率、分娩期并发症发生率、胎儿窘迫、早产儿、低体重儿、巨大儿、新生儿畸形、新生儿窒息、胎死宫内发生率均高于适龄产妇组(P<0.05)。结论高龄产妇妊娠合并症与分娩期并发症发生率及围生儿不良结局增加,加强高龄产妇的产前检查和产时监护十分重要。
Objective To analyze the clinical pregnancy status of elderly puerperas.Methods The clinical data of 1 113 pregnant women from October 2013 to April 2014 in The People’ s Hospital of Puyang City were retrospectively analyzed.According to age, the puerperas were divided into two groups： elderly puerperas group （≥35 years old, n=320 ） and appropriate age puerperas group（＆lt;35 years old, n=793）.Compared the depression and anxiety score, the proportion of cesarean section rate, incidence of complications of pregnancy and pregnancy outcomes of the puerperas between two groups.Results The depression and anxiety score of elderly puerperas[（56.7 ±12.3）、（60.2 ±13.4） respectively] were significantly higher than appropriate age puerperas [ （34.1 ± 9.5）、（31.8 ±10.2） respectively] （P〈0.05） ; The cesarean section rate and incidence of complications of pregnancy of elderly puerperas group were significantly higher than appropriate age puerperas group（P〈0.05）;The rate of fetal distress, preterm, low birth weight, macrosomia, neonatal malformations, asphyxia and stillbirth of elderly puerperas group were higher than appropriate age puerperas group（P〈0.05）.Conclusion Strengthen antenatal and intrapartum care for elderly puerperas is very necessary.
出处
《中国计划生育和妇产科》
2015年第6期60-62,66,共4页
Chinese Journal of Family Planning & Gynecotokology
关键词
高龄产妇
妊娠结局
分娩
elderly puerperas
pregnancy outcomes
delivery
