早产病因237例分析

目的分析早产的相关病因,针对可能诱发早产的相关因素做预防性治疗.方法分析德宏州医疗集团人民医院产科早产的237人(A组),并随机抽取相应时段足月产的病例250例做对照组(B组).将早产可能的诱发相关因素分类,并统计其发生率.结果德宏州医疗集团人民医院早产率11.61%.A组内胎盘病检示绒毛膜羊膜炎(即宫内感染)发生率为56.12%;B组为4.8%(P<0.01).A组内妊娠合并阴道炎;合并生殖道支、衣原体感染发生率分别为56.54%、49.79%(P<0.01);B组为27.2%、19.2%(P<0.01).A组内子痫前期及子痫发生率为18.98%;B组为3.2%(P<0.01).A组内规范产检率为36.1%;B组为94.4%(P<0.01).结论早产组中的宫内感染、妊娠合并阴道炎均高于足月组.规范的产前检查可发现高危妊娠,有利于减少妊娠合并症和并发症.规范产检、防治宫内感染是降低孕产妇和围产儿患病率和病死率的重要措施.

Analysis of Causes of Premature Birth in 237 Cases

Objective To anlalyse the pathogenic factors in parturient with preterm birth so as to make early diagnosis and therapy.Methods The clinical data of 237cases with preterm birth(group A)and 250 cases with term birth(control,group B)were analysed.The pathogenic factors and incidence rate were also analysed.One patient maybe have one or more than one factor.Results The incidence rate of preterm birth was 11.61%.The incidence rate of intrauterine infection was 56.12% in group A and 4.8% in group B(P<0.01).The rate of mycoplasma infection and chlamydia infection in vaginitis was 56.54%,49.79% in group A and 27.2%,19.2% in group B(P<0.01).The incidence rate of eclampsia and pre-eclampsia was18.98% in group A and 3.2%in group B(P<0.01).The incidence rate of pre-eclampsia with acute left heart failure was 73.07%,and that of hyperthyroidism was 13.46%(P<0.01).Conclusions The incidence rate of intrauterine infection and vaginitis in group of term birth is higher than that in group of preterm birth.We can diagnose high risk pregnancy by antenatal examination to reduce the rates of complication and concomitant disease in pregnancy period.Antenatal examination and prevention and cure of intrauterine infection are one of the most important measures to reduce prevalence and mortality in parturient and perinatal infant.