胎盘早剥危险因素临床分析

目的探讨胎盘早剥形成的危险因素，为临床分娩提供确定高危患者的依据。方法研究组128例为胎盘早剥患者，对照组150例为同一时期随机选取的正常分娩孕妇，回顾性分析所有孕妇的入院资料档案，对两组孕妇在体征表现、病理因素、机械因素、生活习惯因素方面的数据进行统计整理，并做出对比。结果研究组胎盘早剥患者临床多表现为不规则性下腹疼痛、阴道活动性出血、子宫不放松有压痛感、子宫敏感、子宫坚硬、血压偏高、胎心（监护）异常、血性羊水等，与对照组比较，研究组患者的不良体征表现明显（P〈0．05）；研究组患者在高血压病／糖尿病、慢性肾脏疾病、血管类病变、剖宫产史／胎盘早剥史、机械性外伤、吸烟几方面的患者胎盘早剥发病率明显高于对照组（P〈0．05）。结论病理、机械和生活习惯的相关因素都可能引起孕妇胎盘早剥的发生，因此在妊娠期应指导孕妇注意保护自己、改善不良生活习惯，并及时处理各类病理疾病，以降低围生期的发病率。

Clinical analysis of risk factors of placental abruption

Objective To investigate the risk factors for the formation of placental abruption, delivery available for clinical basis for determining patients at high risk. Methods The study group were 128 patients with placental abruption, one hundred and fifty randomly selected pregnant women with normal child birth for the same period were in the control group, the hospital data files of all pregnant women were retrospectively analyzed, the performance of two groups of pregnant women in signs, pathological factors, mechanical factors, lifestyle factors compiles tile data and make comparison. Results The study group showed more clinical placental abruption, irregular abdominal pain, vaginal bleeding events, the uterus does not relax with tenderness, sensitive uterus, uterine hard, high blood pressure, fetal heart rate （guardianship） exception, bloody amniotie fluid, etc. Compared with the control group, the study group with negative symptoms performed significantly （ P 〈 0. 05 ） ; The hypertension/diabetes, chronic kid- ney disease, vascular type disease, cesarean section history / history of placental abruption, mechani- cal trauma, several aspects of smoking prevalence in the study group was significantly higher than that in the control group （ P 〈 0.05 ）. Conclusions The pathology, machinery and related lifestyle factors may cause the incidence of placental abruption for pregnant women, so should guid pregnant women to protect themselves during pregnancy, to improve the poor living habits, and promptly handle all typesof pathological diseases, to reduce perinatal morbidity.