前置胎盘与妊娠结局的临床分析.pdfVIP

2008年6月第l4卷第l2期 Medical Recapitulate，Jun 2008，Vo1．14，No．12 前置胎盘与妊娠结局的临床分析 潘 勉 (福建省妇幼保健院妇产科，福州350001) 中图分类号：R714．2 文献标识码：B 文章编号：1006-2084(2008)12-1911-03 摘要：目的 探讨前置胎盘病因、类型、临床表现与妊娠结局。方法 将142例前置胎盘患者设 置正常孕妇 142例为对照 为前置组，并分为完全组(72例)、部分组(29例)、边缘组(4l例)；同时随机选择正常妊娠孕妇142 组，年龄20～37岁，平均 例，进行回顾性分析。结果 高龄、经产、流产、剖宫产为发生前置胎盘的高危因素；三组前置胎盘患 (27．2±4．8)岁。 者产前出血、产后出血、输血、诊断孕周、分娩孕周、阴道分娩、早产、新生儿体质量及窒息比较，差异 均有显著性意义(P0．05或P0．01)；三组前置胎盘患者失血性休克、子宫切除、急诊剖宫产、择 1．2 方法 比较两组一般 期剖宫产、小于胎龄儿及围产儿死亡比较，差异均无显著性意义(P0．05)。结论 妊娠结局与前 情况及母婴预后，产前出血、 置胎盘的类型有关，完全性及部分性前置胎盘临床症状较重，母儿预后较差。 产后出血、分娩孕周、新生儿 关键词：前置胎盘；分娩方式；结局 体质量。 Clinical Analysis of Placenta Praevia and Pregnancy Outcome PAN Mian．(Department of Obstetrics and Cynecology，Hospital ofMaternal and C^ Health in Fujian，Fuzhou 350001，China) 1．3 统计学分析 计量资 Abstract：Objective To investigate placenta praevia about its etiology，type，clinical manifestation and 料以( ± )表示，计数资料 pregnancy outcome．Methods Retrospective analysis was carried out amonyg patients with pregnantce．142 cases was patients with normal pregnancy，142 eases was patients with placenta praevia，which Was then di- 以绝对数与百分率表示。采 vided into three groups：central group(72 Cases)，partial group(29 cases)and marginal group(41 cases)． Results Eld，muhiparity，miscarriage and uterine-incision delivery were high risk factors of placenta prae 用SPSS 11．5统计软件处 v／a．The difference has statistical significance among three groups with placenta praevia in many indexes，in- 理，计量资料之间的比较用t eluding antepartum hemorrhage，postpartum hemorrhage，blood transfusion，diagnosis of gestational weeks， childbearing of gestational weeks，vaginal deli