探析不同类型胎盘早剥对母婴结局影响.docVIP

探析不同类型胎盘早剥对母婴结局影响 　　[摘要] 目的 研究不同类型胎盘早剥对母婴结局的影响。方法 随机选取江苏省张家港市第三人民医院自2009年1月―2014年12月住院分娩的60例胎盘早剥患者为研究对象，并根据患者病情严重程度，参考临床胎盘早剥分型标准将其分为轻型组和重型组，通过比较两组分娩方式、产妇结局、新生儿结局评价不同胎盘早剥类型对母婴结局的影响。 结果 重型胎盘早剥分娩方式以剖宫产为主，轻型以阴道分娩为主。重症组产妇产后胎盘出血、DIC、胎盘卒中等并发症的发生率明显高于轻症组，重型组新生儿不良事件发生率明显高于轻症组，P0.05，差异有统计学意义。结论 胎盘早剥严重程度直接影响母婴结局，重型胎盘早剥母婴不良事件发生率明显高于轻型胎盘早剥。因此，早期发现、及时处理对于提高胎盘早剥后母婴生存质量尤为重要。 　　[关键词] 胎盘早剥；分娩方式；母婴结局；不良事件 　　[中图分类号] R71 [文献标识码] A [文章编号] 1674-0742（2015）08（b）-0068-02 　　[Abstract] Objective To study the effects of different types of placental abruption on the maternal-infant outcome. Methods 60 patients with placental abruption undergoing delivery in our hospital during January 2009 and December 2014 were selected as the research object and divided into severe group and mild group according to differentiation standards for placental abruption based on patients condition. Delivery mode， maternal outcomes and neonatal outcome were compared between the two groups to evaluate the effects of different types of placental abruption on the maternal-infant outcome. Results For patients with severe placental abruption， the main delivery mode was caesarean section， while for those with mild placental abruption， vaginal delivery was mainly performed. Complication rate of postpartum hemorrhage， DIC， placenta apoplexy in parturient women were higher， and adverse reaction rate in neonates were higher， in the severe group than in the mild group， and the differences were statistically significant， P0.05. Conclusion Maternal-infant outcome is directly influenced by placental abruption， the severer one of which can lead to higher adverse reaction rate. Therefore， it is very important to detect and treat this disease timely. 　　[Key words] Placental abruption； Delivery mode； Maternal-infant outcome； Adverse events 　　胎盘早剥作为妊娠晚期严重并发症，起病急、进展快，严重危害母婴健康和生命安全[1]。因此，关注胎盘早剥征象并给予及时处理对于病情控制和疾病预后尤为关键。该研究通过分析该院胎盘早剥患者临床资料，探析不同类型胎盘早剥对母婴结局的影响，并制定处理方案，以为临床治疗提供依据，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　随机选取江苏省张家港市第三人民医院自2009年