高原与平原地区产妇的产科相关因素分析.docVIP

高原与平原地区相关因素分析 蒋红清朗珍达娃卓玛何芹德穷（北京海淀区妇幼保健院，北京，100080拉萨市妇幼保健院，拉萨，850000）摘 要目的高原地区产妇孕期保健干预措施高原地区产科质量。方法2009年10月-2010年9月高原地区高原组及平原地区平原组住院分娩产妇的临床资料，孕期保健、产科并发症、剖宫产及围产儿出生相关进行分析。结果：高原组产妇孕期定期产前检查率%）显著低于平原组94.67%），P＜0.01妊娠期高血压病、羊水过少为高原组产科并发症前两位，发生率分别为%和P＜0.01高原组剖宫产率（0.54%）低于平原组%），P＜0.0；高原组足月新生儿平均出生体重3095.17土4.53g）低于平原组3487.32土4.89g），P＜0.0；高原组新生儿窒息率（）、早期新生儿死亡率（）、足月低体重儿发生率（）均高于平原组P＜0.05。结论 普及妇幼卫生知识，加强孕产妇系统管理，积极防治产科并发症特别是妊娠期高血压提高医疗技术及加大必要医疗设备的投人，是提高高原地区产科质量的重要措施。 关健词妊娠并发症；高海拔 中图分类号：R714.7；文献标识码：A；文章编号：110238；DOI： 作者简介蒋红清，女，硕士，副主任医师， E-mail：drjhq91@ Analysis of obstetric related factors of women with pregnancy in plateau region and in plain region JIANG Hong-qing,1 LANG Zhen,2 Da Wa-zhuoma,2 He Qin,2 De Qiong2 1 Haidian Maternal and Child Health Hospital, Beijing 100080, China 2 Lhasa Maternal and Child Health Hospital, Lhasa 850000, China ABSTRACT: Objective: To explore the characteristics of obstetric related factors of women with pregnancy in plateau region and in plain region for improving the obstetric quality in plateau region. Methods: 667 women labors in hospital of plateau region (plateau group) were compared in obstetric related factors with 600 cases in plain region (plain group) from Oct 2009 to Sep 2010. Results: The rate of regular antenatal examination of pregnant women in plateau group (10.34%) was significantly lower than that of plain group (94.67%), P＜0.01. Pregnancy complications and cesarean section rate in plateau group (41.23% or 20.54%) were higher than that of plain group (34.83% or 40.17%), P＜0.05. Hypertensive disorder complicating pregnancy(HDCP) was the highest obstetric complication in plateau group, the incidence reached to 13.34%, and the second was oligohydramnios, the incidence reached to 9.15%. The average birth weight of neonate with term delivery in plateau group (3095.17g土433.53) was significantly lower than that of plain group(3487.32g土468.89), P＜0.015.10%), early neonatal mortality rate (0.75%) and low birth weight infant rate(5.85%) in platea