發(fā)布時(shí)間：2018-03-18 23:11

  本文選題：醫(yī)源性　切入點(diǎn)：早產(chǎn)　出處：《實(shí)用婦產(chǎn)科雜志》2015年10期 　論文類型：期刊論文

【摘要】：目的:探討不同病因醫(yī)源性早產(chǎn)(IPD)與圍生兒結(jié)局的關(guān)系。方法:回顧性分析2008年1月至2012年12月在我院分娩的醫(yī)源性早產(chǎn)病例992例,根據(jù)剖宮產(chǎn)終止妊娠的IPD的不同病因,分為妊娠期高血壓疾病(HDP)組351例,前置胎盤(pán)組260例,瘢痕子宮組145例,胎盤(pán)早剝組115例,妊娠期肝內(nèi)膽汁瘀積癥(ICP)組78例,羊水過(guò)少組43例。比較6組產(chǎn)婦的一般情況、分娩孕周分布、新生兒出生情況及主要并發(fā)癥的發(fā)生率和新生兒出生后第7天存活率情況。結(jié)果:各組存活率均隨孕周增加而增加,各組存活率比較差異有統(tǒng)計(jì)學(xué)意義,P0.01。單胎新生兒體重由輕到重依次為:HDP組、羊水過(guò)少組(或胎盤(pán)早剝組)、ICP組、前置胎盤(pán)組(或瘢痕子宮組);黃疸發(fā)生率由高到低依次為:ICP組(或瘢痕子宮組或HDP組)、羊水過(guò)少組、胎盤(pán)早剝組(或前置胎盤(pán)組);貧血發(fā)生率由高到低依次為:胎盤(pán)早剝組、前置胎盤(pán)組、瘢痕子宮組,瘢痕子宮組與ICP組、HDP組、羊水過(guò)少組比較差異無(wú)統(tǒng)計(jì)學(xué)意義;顱內(nèi)出血發(fā)生率胎盤(pán)早剝組高于其他各組,P0.05。雙胎各種新生兒主要并發(fā)癥的發(fā)生率均高于單胎,P0.01。結(jié)論:不同病因IPD的新生兒存活率顯著不同,隨孕周增加而增加,但出生情況、主要并發(fā)癥的發(fā)生率不同,雙胎新生兒主要并發(fā)癥的發(fā)生率均高于單胎。
[Abstract]:Objective: to investigate the relationship between iatrogenic premature delivery (IHD) and perinatal outcome of different etiology. Methods: a retrospective analysis of 992 cases of iatrogenic preterm delivery from January 2008 to December 2012 was carried out in our hospital, according to the different etiology of IPD in terminating pregnancy by cesarean section. There were 351 cases of hypertension complicating pregnancy group, 260 cases of placenta previa group, 145 cases of scar uterus group, 115 cases of placental abruption group, 78 cases of intrahepatic cholestasis of pregnancy group and 43 cases of oligohydramnios group. The distribution of gestational weeks of delivery, the incidence of neonatal birth and major complications, and the survival rate on the 7th day after birth. Results: the survival rate of each group increased with the increase of gestational week. The survival rate of each group was significantly different (P 0.01). The weight of single fetal newborns from light to heavy was: 1: HDP group, oligohydramnios group (or placental abruption group, ICP group), The incidence of jaundice from high to low in placenta previa group (or scar uterus group or HDP group), oligohydramnios group, placental abruption group (or placenta previa group), anemia rate from high to low were: placental abruption group. There was no significant difference among placenta previa group, scar uterus group, scar uterus group and ICP group, oligohydramnios group. The incidence of intracranial hemorrhage in placental abruption group was higher than that in other groups (P 0.05). The incidence of major complications of twins was higher than that of single fetus P0.01.Conclusion: the survival rate of neonates with different etiology of IPD is significantly different and increases with the increase of gestational week, but the birth condition. The incidence of major complications was different, and the incidence of major complications of twin neonates was higher than that of single fetus.
【作者單位】： 湖北省婦幼保健院;
【分類號(hào)】：R714.7

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本文編號(hào)：1631743