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妊娠晚期产前出血属于女性妊娠期间的常见疾病之一,其临床特征主要表现为孕产妇妊娠28周后的阴道出血现象[1]。作为妊娠期严重并发症,产前出血不仅会诱发孕产妇出现供血不足、胎盘功能不全等并发症,还会严重危及到产妇及新生儿的生存质量与生命健康,因此,临床医疗人员应给予妊娠晚期产前出血这一情况足够重视,并积极采取相应处理措施,从而起到一定的改善妊娠结局作用[2]。我们随机抽选了于我院进行分娩的110例孕产妇观察并分析妊娠晚期产前出血对母婴结局的影响,并探讨妊娠晚期产前出血出现原因及其对孕产妇和新生儿所产生的不良结局。现作报道。
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观察组28例孕晚期出血原因为前置胎盘、胎盘、早剥、宫颈疾病及前置血管破裂,发生率分别为50.00%、32.14%、14.29%和3.57%。
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2组孕产妇产后出血发生率差异无统计学意义(P>0.05),观察组阴道分娩率低于对照组(P < 0.01),剖宫产率和子宫切除率均高于对照组(P < 0.01和P < 0.05)(见表 1)。
分组 n 阴道分娩 剖宫产 产后出血 子宫切除 观察组 28 9(32.14) 12(42.86) 4(14.29) 3(10.71) 对照组 82 64(78.05) 15(18.29) 3(3.66) 0(0.00) 合计 110 73(66.36) 27(24.55) 7(6.36) 3(2.73) χ2 — 19.70 6.800 2.37 5.45 P — < 0.01 < 0.01 >0.05 < 0.05 表 1 2组孕产妇妊娠结局比较[n;百分率(%)]
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观察组早产和新生儿窒息率均高于对照组(P < 0.05),胎儿窘迫和死胎发生率在2组间差异均无统计学意义(P>0.05)(见表 2)。
分组 n 早产 胎儿窘迫 新生儿窒息 死胎 观察组 28 3(10.71) 3(10.71) 4(14.29) 2(7.14) 对照组 82 1(1.22) 2(2.44) 1(1.22) 0(0.00) 合计 110 4(3.64) 5(4.55) 5(4.55) 2(1.82) χ2 — 5.37 3.29 5.48 2.64 P — < 0.05 >0.05 < 0.05 >0.05 表 2 2组新生儿结局比较[n;百分率(%)]
妊娠晚期产前出血对母婴结局的影响分析
Effect of antepartum hemorrhage on maternal and infant outcomes in late pregnancy
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摘要:
目的探析妊娠晚期产前出血对母婴结局的影响。 方法选择妊娠晚期孕产妇110例作为研究对象,根据是否出现产前出血分为对照组(82例,产前未出血)和观察组(28例,产前出血)。对2组临床资料进行分析,并对孕产妇发生妊娠晚期产前出血的原因进行统计,比较2组孕产妇及新生儿的妊娠结局。 结果观察组28例孕晚期出血原因为前置胎盘、胎盘早剥、宫颈疾病及其他,发生率分别为50.00%、32.14%、14.29%和3.57%。2组孕产妇产后出血发生率比较差异无统计学意义(P>0.05),观察组阴道分娩率低于对照组(P < 0.01),剖宫产率和子宫切除率均高于对照组(P < 0.01和P < 0.05);观察组早产和新生儿窒息率均高于对照组(P < 0.05),胎儿窘迫和死胎发生率在2组间差异均无统计学意义(P>0.05)。 结论存在妊娠晚期产前出血,孕产妇及新生儿不良结局的发生概率将显著增加,医护人员应根据产妇具体情况,及时对其展开针对性临床干预措施。 Abstract:ObjectiveTo investigate the influence of antepartum hemorrhage on maternal and infant outcomes in late pregnancy. MethodsOne hundred late pregnant women were divided into the control group(82 cases, no antepartum hemorrhage) and observation group(28 cases, antepartum hemorrhage).The clinical data of two groups were analyzed.The causes of antepartum hemorrhage in late pregnancy were analyzed, and the pregnancy outcomes of pregnant women and neonates were compared. ResultsThe late pregnancy bleeding causes were placental abruption, placenta previa, cervical and others in observation group, and the incidence rates were 50%, 32.14%, 14.29% and 3.57%, respectively.The incidence rate of postpartum hemorrhage between two groups was not statistically significant(P>0.05).The rate of vaginal delivery in observation group was lower than that in control group(P < 0.01).The incidence rates of cesarean section, hysterectomy, and premature birth and neonatal asphyxia in observation group were higher than those in control group, respectively(P < 0.01 and P < 0.05).The differences of the incidence rates of fetal distress and stillbirth between two groups were not statistically significant(P>0.05). ConclusionsThe incidence rates of the poor outcomes in late pregnancy women with antepartum hemorrhage increase significantly.The targeted clinical intervention should be implemented in medical personnel according to the specific situation. -
Key words:
- late pregnancy /
- antepartum hemorrhage /
- maternal and infant outcome
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表 1 2组孕产妇妊娠结局比较[n;百分率(%)]
分组 n 阴道分娩 剖宫产 产后出血 子宫切除 观察组 28 9(32.14) 12(42.86) 4(14.29) 3(10.71) 对照组 82 64(78.05) 15(18.29) 3(3.66) 0(0.00) 合计 110 73(66.36) 27(24.55) 7(6.36) 3(2.73) χ2 — 19.70 6.800 2.37 5.45 P — < 0.01 < 0.01 >0.05 < 0.05 表 2 2组新生儿结局比较[n;百分率(%)]
分组 n 早产 胎儿窘迫 新生儿窒息 死胎 观察组 28 3(10.71) 3(10.71) 4(14.29) 2(7.14) 对照组 82 1(1.22) 2(2.44) 1(1.22) 0(0.00) 合计 110 4(3.64) 5(4.55) 5(4.55) 2(1.82) χ2 — 5.37 3.29 5.48 2.64 P — < 0.05 >0.05 < 0.05 >0.05 -
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