初产前人工流产术对妊娠结局影响.pdfVIP

目 录 中文摘要??????????????????．．1 英文摘要??????????????????．．2 前言???????????????????．3刚舌 J 对象与方法??????????????????5 结果???????????????????．7 讨{念???????????????????．9 结j念???????????????????10 参考文献??????????????????．1l 综述???????????????????13 攻读学位期间发表文章情况????????????．．24 致谢???????????????????25 个人简历??????????????????．26 万方数据 山两医科大学硕上学位论文 初产前人工流产术对妊娠结局的影响 摘 要 目的探讨初产前人工流产术对妊娠结局的影响。 方法采用病例对照研究的方法，对223例住院分娩的孕妇，按照有无人工流产史分为观 察组和对照组，观察其妊娠结局，并进行比较分析。 结果先兆流产、前置胎盘、胎盘粘连或植入、胎膜早破、胎儿窘迫、早产及产后出血的 发生率，观察组与对照组相比差异有统计学意义(PO．05)，观察组明显高于对照组；其 中重复流产会导致早产及胎膜早破的发生率升高，差异有统计学意义(P0．05)；末次人 工流产与本次妊娠的间隔时间越短，胎儿生长受限及胎儿窘迫的发生率越高，差异有统计 学意义(PO．05)。 结论初产前人工流产术对妊娠结局有不良影响，加强计划生育宣教，落实有效的避孕方 法势在必行。 关键词：初产 人工流产术 妊娠结局 万方数据 山两医科大学硕上学位论文 The Impact of Induced Abortion before Primiparity OU Pregnancy objective Outcome Abstract T0 investigate the impact ofinduced abortion before primiparity on pregnancy outcome． Methods 223 cases of hospitalized childbirth pregnant women were divided into observation group and control group based on whether they have induced abortion history．The pregnancy outcome was observed and compared using case control method． Result The incidences of threatened abortion，placenta previa，placenta adhesion or implant， premature rupture of membrane，fetal distress，premature birth，and postpartum hemorrhage in the observation group were significantly higher than those of the control group(PO．05)． Meanwhile，repeated induced abortion before primiparity led up to a higher incidence ofpreterm birth and premature rupture of membrane，with a statistically significant difference(P0．05)； The shorter time interval between the pregnancy and the latest induced abortion，the higher incidence of fetal growth restriction and fetal distress，and the difference Was also statistically significant fP0．05)． Conelusions The induced abortion before primiparity has a negative effect on pregnancy outcome．So it is imperative to enhance the publicity of this issue with proper propaganda and education of family planning and to effect