高龄经产妇妊娠的现状及围生期结局分析.docVIP

高龄经产妇妊娠的现状及围生期结局分析 　　【摘要】目的：探讨高龄经产妇分娩对妊娠结局的影响。方法：采用回顾性对照研究，对6432例单胎经产妇的临床资料进行分析，比较高龄组（≥35岁，n=310）和非高龄组（35岁，n=6122）分娩方式、妊娠合并症、并发症以及新生儿结局的差异。结果：高龄组经产妇的剖宫产率明显高于非高龄组（P0.05）；高龄组妊娠期高血压、前置胎盘、早产、产后出血、胎膜早破、贫血均高于非高龄组（P0.05）；高龄组新生儿体重降低（P0.05）。结论：高龄经产妇妊娠期合并症、并发症增多，剖宫产率增加，高龄妊娠应加强围生期保健。 　　【关键词】高龄；妊娠；剖宫产；新生儿体重 　　Pregnancy status and perinatal outcomes of aged pluriparaWANG Huiling1， XUE Aifang2， QIAO Na1. 1. Department of Obstetrics and Gynecology， Peoples Hospital of Yanan City， Yanan 716000， China； 2. Department of Obstetrics and Gynecology， Peoples Hospital of Ganquan County， Yanan 761001， China 　　【Abstract】Objectives： To investigate the impact of delivery on pregnancy outcome in women aged 35 or older. Methods： 6432 cases of maternal and newborn records of singleton gestation were analyzed by retrospective control review. Women aged 35 and older （study group n=310） were compared with women aged younger than 35 （control group n=6122） with respect to delivery modes， pregnancy complications and neonatal outcomes. Results： Primipara and multipara in study group had higher rates of cesarean section than those in the control group （P0.05）. The rates of pregnancy-induced hypertension， placenta previa， preterm labor， postpartum hemorrhage， premature rupture of membranes and anemia in study group were higher than those in the control group （P0.05）.The neonatal birth weight in study group was lower than that in control group. Conclusions： Pregnant women aged 35 or older are at an increased risk of pregnancy complications and cesarean section. The perinatal health care of aged pregnant women should be reinforced. 　　【Key words】Aged； Pregnancy； Cesarean section； Birth weight 　　【中图分类号】R714.2【文献标志码】A 　　近年来，由于计划生育的松懈，中小城市高龄经产妇逐渐增多，选择性剖宫产明显增多，而围生期不良结局并未下降，尤其是新生儿呼吸系统并发症的发病率增加[1]，值得重视。本文对我院近两年住院分娩的310例高龄经产妇进行分析，现报道如下。 　　1资料与方法 　　1.1临床资料 　　2009年1月1日至2012年1月1日在我院住院分娩，单胎妊娠的产妇共计 6432例，其中年龄≥35岁的高龄经产妇（高龄组）310例（4.82 %），年龄最大44岁，最小35岁，平均年龄39.5岁；年龄35岁的非高龄产妇（非高龄组）6122例（95.18 %），年龄最小18岁，最大34岁，平均2