摘要
目的了解河北省胎盘早剥的危险因素和流行病学特点。方法采用横断面的调查方法,收集2016年1月1日至2016年12月31日期间于河北省22所监测医院入院的64 909例孕产妇资料,调查该病的危险因素及地区分布、人群分布(如城乡及医院等级、年龄)、时间分布等流行病学特点。结果 64 909例孕产妇发生胎盘早剥者231例(0.36%);不同地区患病率整体趋势符合南高北低、区域性经济中心高于周边地区;城市医院患病率高于乡镇,医院等级越高患病率越高;平均患病年龄(29.29±5.26)岁,孕妇年龄的患病率呈"J"型分布,夏秋季节患病率低,春冬季节较高;新生儿死亡5例(2.2%),死胎30例(13.5%),无一孕产妇死亡;多发于合并慢性高血压、子痫前期、贫血、经产妇、有剖宫产史、多次妊娠者。结论胎盘早剥患病率在年龄>45岁和<20岁都较高,建议适时孕育,针对不同地区、不同时间,尤其是高危人群在加强宣教基础上采取预防措施,对改善围产结局具有重要意义。
Objective To investigate the risk factors and epidemiological characteristics of placental abruption in Hebei province. Methods A cross-sectional study was conducted to select 64909 cases from 22 critical maternal surveillance hospitals in Hebei province from January 1, 2016 to December 31 in 2016, investigate the risk factors and epidemiological characteristic like the areas of disease distribution, the population distribution such as urban and rural hospitals and grades, age, and time distribution. Results 231 PA cases were detected from 64,909 pregnant women （ 0.36% ）. In different areas, the overall prevalence showed a trend of higher incidence in the south and lower in the north, higher in the economic center and lower in the outskirts. The prevalence of the hospitals in the large cities was significantly higher than that of the small ones. The higher the hospital ranked, the higher the morbidity. The mean age of illness was （29.29 ± 5.26） years and the age distribu- tion took a shape of letter J ： indicating the prevalence was lower in summer and autumn and higher in spring and winter. There was no maternal death, but the newborn mortality was 2.2% （5 deaths） and stillbirth rate was 13.5% （30 cases） mainly due to chronic hypertension, preeclampsia, anemia, cesarean section and multiple pregnancy. Conclusions The prevalence of placental abruption is higher among the population aged than 45 years and younger than 20 years. It is suggested to take a moderate pregnancy, enhance pregnancy education and take preventive mea- sures in the high-risk people from different regions at different time points.
作者
郭广丽
靳颖
张翠
杨洁
李雅丽
张英奎
王莉
GUO Guangli;JIN Ying;ZHANG Cui;YANG Jie;LI Yali;ZHANG Yingkui;WANG Li(Department of Obstetrics and Gynecology, Hebei General Hospital Affiliated to North China University of Science and Technology, Shijiazhuang 050000, Chin)
出处
《实用医学杂志》
CAS
北大核心
2018年第7期1195-1199,共5页
The Journal of Practical Medicine
基金
河北省人社厅引智项目(编号：2016051784)
关键词
胎盘早剥
危险因素
横断面研究
Placental abruption
Risk factors
Cross-sectional study
