凶险性前置胎盘23例临床分析

目的：总结凶险性前置胎盘的疾病特征，提高产科医护对其的认知和防治。方法将我院2013年6月—2014年12月94例前置胎盘孕妇分为2组：凶险性前置胎盘组（观察组）、非凶险性前置胎盘组（对照组）。比较2组孕妇在产前、产程中及产后情况的异同。结果①相比较于对照组孕妇，观察组的产前出血时间明显更晚（P<0.05），而在产妇年龄、平均分娩孕周等方面无明显统计学差异（P>0.05）；②观察组在产时发生大出血、产后大出血、胎盘植入、切除子宫的概率都明显高于对照组（P<0.05）；③观察组新生儿1分钟Apgar评分窒息发生率明显高于对照组，差异具有统计学意义（P<0.05）。结论凶险性前置胎盘给孕产妇和新生儿带来极大的威胁，积极采取有效的防治措施对改善母儿预后具有重要意义。

Clinical analysis of 23 cases of pernicious placenta previa

Objective To explore the clinical characteristics of pernicious placenta previa,Improve the knowledge and prevention of pernicious placenta previa in clinical. Methods From June 2013 to December 2014 in our hospital 94 patients with placenta previa,analyze pernicious placenta previa group and non- pernicious placenta previa group differences before and after deliver. Results Pernicious placenta previa group bleeding time was significantly later than non- pernicious group,the difference was statistically significant (P<0.05),and the maternal age,the average gestational age was no significant difference between the two groups (P>0.05);②Pernicious placenta previa group intrapartum hemorrhage,postpartum hemorrhage,placental implantation rate,hysterectomy rate was significantly higher, the difference was statistically significant (P<0.05);③Pernicious placenta previa group neonatal asphyxia rate were significantly higher,the difference was statistically significant(P<0.05).Conclusions Compared with non-pernicious, pernicious placenta previa is a great threat for maternal and newborn. Taking effective prevention and control measures and improving prognosis of maternal-fetal.