摘要
目的探讨前置胎盘合并胎盘植入对产妇及胎儿的危害。方法选取2016年1月至2019年4月在本院治疗的前置胎盘产妇214例,其中合并有胎盘植入57例(观察组),未合胎盘植入157例(对照组),收集比较两组母婴结局资料。结果观察组产后出血、子宫切除和剖宫产比例分别为56.14%、19.30%和82.46%,明显高于对照组(均P<0.05);观察组产后3个月性交痛发生率为61.40%,明显高于对照组(P<0.05);观察组和对照组产后6个月性交痛发生率比较,差异无统计学意义(P>0.05);观察组和对照组早产、新生儿窒息及新生儿体质量比较,差异无统计学意义(均P>0.05);观察组流产史≥2次、产次≥2次、剖宫产史≥2次和中央性前置胎盘比例分别为77.19%、63.16%、29.82%和59.65%,明显高于对照组(均P<0.05);logistic回归分析结果显示:流产史、产次、剖宫产史和中央性前置胎盘是前置胎盘合并胎盘植入的危险因素(OR=2.779、2.392、8.183、5.942,均P<0.05)。结论前置胎盘合并胎盘植入易引起产后出血、子宫切除等,其发生受流产、产次等多种因素影响。
Objective To explore the harm of placenta previa combined with placenta implantation to parturients and fetuses.Methods 214 pregnant women with placenta previa treated in our hospital from January,2016 to April,2019 were selected,including 57 cases with placenta implantation(an observation group)and 157 cases without placenta implantation(a control group).The maternal and infant outcomes of the two groups were collected and compared.Results The proportions of postpartum hemorrhage,hysterectomy,and cesarean section in the observation group were 56.14%,19.30%,and 82.46%,respectively,which were significantly higher than those in the control group(all P<0.05).The incidence of postpartum sexual intercourse pain was 61.40%in the observation group,which was higher than that in the control group 3 months after delivery(P<0.05).There was no statistical difference in the incidence of sexual intercourse pain between the observation group and the control group 6 months after delivery(P>0.05).There were no statistical differences in preterm birth,neonatal asphyxia,and neonatal weight between the observation group and the control group(all P>0.05).The proportions of abortion history≥2 times,delivery times≥2,cesarean section history≥2 times,and central placenta previa in the observation group were 77.19%,63.16%,29.82%,and 59.65%,respectively,which were significantly higher than those in the control group(all P<0.05).Logistic regression analysis showed that the history of abortion,parity,cesarean section,and central placenta previa were risk factors for placenta previa complicated with placenta implantation(OR=2.779,2.392,8.183,and 5.942;all P<0.05).Conclusion Postpartum hemorrhage,hysterectomy,and so on are easily caused by placenta previa combined with placenta implantation.The occurrence of placenta previa is influenced by abortion,parity,and other factors.
作者
张金霞
杨平
苏静
刘萌
肖凤芹
Zhang Jinxia;Yang Ping;Su Jing;Liu Meng;Xiao Fengqin(Department of Health Care for Women,Maternal and Child Health Care Hospital of Dongchangfu District,Liaocheng 252000,China;Department of Gynecology and Obstetrics,South-west Shandong Hospital Limited Company,Liaocheng 252000,China;Department of Quality Management,Maternal and Child Health Care Hospital of Dongchangfu District,Liaocheng 252000,China;Department of Perinatology,Maternal and Child Health Care Hospital of Dongchangfu District,Liaocheng 252000,China)
出处
《国际医药卫生导报》
2020年第12期1742-1745,共4页
International Medicine and Health Guidance News
关键词
前置胎盘
胎盘植入
母婴结局
Placenta previa
Placenta implantation
Maternal and infant outcomes
