胎盘早剥45例临床分析

目的比较两种胎盘早剥(轻型和重型)的母儿结局。方法回顾性分析2009年1月至2010年12月期间胎盘早剥患者的孕期、产时、产后的临床资料。结果同期分娩总数为9397例次,期间胎盘早剥45例,其发生率为0.48%,轻型胎盘早剥为53.33%(24例),部分性胎盘早剥为46.67%(21例)。两种胎盘早剥患者的年龄、孕次和产次、发病诱因、产妇并发症发病率、早产儿发生率、围产儿死亡率之间差异无统计学意义(P>0.05)。其临床表现、正常新生儿出生率之间差异有统计学意义(P<0.05)。结论及早发现对轻型和重型胎盘早剥,重视两者尤其是后者的处理,可望改善母儿结局。

Clinical analysis on 45 cases of placental abruption

Objective To compare the outcome of women and fetus with placental abruption between the mild type and the gravis type.Methods The clinical data of women with placental abruption in the past two year were analyzed retrospectively.Results The incidence of placental abruption was 0.48%.The percentages of the mild type and the gravis type placental abruption were 53.33% and 46.67%,respectively.There was no statistically significant difference between the two groups in ages,gravidities,parities,inducement,incidence of complications of the puerperal,premature,and mortality of the fetus(P>0.05).But statistically significant difference was found in clinical manifestation and natality of normal newborn(P<0.05).Conclusion Recognizing the disease as soon as possible and managing rapidly,especially for the gravis type,the prognosis of the mother and fetus can be improved.