| 早产并胎盘早剥的影响因素及结局的病例对照研究 |
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| 引用本文： | 张静平,潘维君,陈茂林.早产并胎盘早剥的影响因素及结局的病例对照研究[J].蚌埠医学院学报,2020,45(8):1017-1019. |
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| 作者姓名： | 张静平 潘维君 陈茂林 |
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| 作者单位： | 安徽省马鞍山市妇幼保健院, 马鞍山市危急重症产科中心, 243000 |
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| 基金项目： | 国家卫生计生委医药卫生科技发展研究中心项目W2016CWAH02 |
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| 摘 要： | 目的探讨早产并胎盘早剥的影响因素、临床表现及妊娠结局。方法胎盘早剥111例，按照孕周分为早产组43例和孕足月组68例。比较2组胎盘早剥相关诱因、临床表现和母婴结局。结果2组年龄和是否初产妇差异均无统计学意义(P>0.05)。2组瘢痕子宫和纵膈子宫率差异均有统计学意义(P < 0.05)；临床表现方面，早产组阴道流血、腹痛和超声检查异常率均高于孕足月组(P < 0.05~P < 0.01)，血性羊水率低于孕足月组(P < 0.05)；母婴结局方面，早产组新生儿窒息和围产儿死亡发生率均高于对照组(P < 0.05和P < 0.01)。结论胎盘早剥影响因素和临床表现多样，需综合判断、及早识别和干预，改善母婴结局。
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| 关 键 词： | 胎盘早剥 早产 孕周 母婴结局 |
| 收稿时间： | 2019-11-28 |
A case-control study of the influencing factor and outcome of premature delivery complicated with placental abruption |
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| Affiliation: | Ma'anshan Critical Obstetric Center, Maternal and Child Health Care Hospital of Ma'anshan, Ma'anshan Anhui 243000, China |
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| Abstract: | ObjectiveTo explore the influencing factors, clinical manifestations and pregnancy outcomes of premature delivery complicated with placental abruption.MethodsOne hundred and eleven patients with placental abruption were divided into the preterm delivery group(n=43) and full-term pregnancy group(n=68) according to the gestational weeks.The related causes, clinical manifestations, and maternal and infant outcomes were compared between two groups.ResultsThe differences of the age and whether primipara or not between two groups were not statistically significant(P>0.05), and the differences of the scar uterine and mediastinal uterine rates between two groups were statistically significant(P < 0.05).The vaginal bleeding, abdominal pain and abnormal rate of ultrasound examination in preterm delivery group were higher than those in full-term pregnancy group(P < 0.05 to P < 0.01), and the hemorrhagic amniotic fluid rate in preterm delivery group was lower than that in full-term pregnancy group(P < 0.05).The incidence rates of neonatal asphyxia and perinatal death in preterm delivery group were higher than those in full-term pregnancy group(P < 0.05 and P < 0.01).ConclusionsThe influencing factors and clinical manifestations of placental abruption are diverse, and the comprehensive judgment, early recognition and intervention are needed to improve the maternal and infant outcomes. |
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