【摘要】：目的比較青少年初產(chǎn)婦與其他年齡段初產(chǎn)婦產(chǎn)科并發(fā)癥、合并癥和妊娠結(jié)局的差異。方法回顧分析第三軍醫(yī)大學(xué)西南醫(yī)院2005年1-12月產(chǎn)科分娩的孕前無合并癥的初產(chǎn)婦的臨床資料,按年齡分為青少年組(≤19歲,232例)、19~35歲組(464例)和高齡組(≥35歲,464例),比較其一般情況、產(chǎn)科并發(fā)癥、合并癥及其妊娠結(jié)局。結(jié)果青少年組未婚、高中以下文化程度、無職業(yè)、初次懷孕、早產(chǎn)率和妊娠合并貧血、軟產(chǎn)道裂傷比例均高于19~35歲組和高齡組,青少年組孕期平均增加體質(zhì)量、剖宮產(chǎn)率、妊娠期糖尿病、前置胎盤發(fā)生率及新生兒平均體質(zhì)量低于19~35歲組和高齡組,青少年組中妊娠期高血壓疾病的發(fā)生率高于19~35歲組,差異均有統(tǒng)計學(xué)意義(P0.05),但與高齡組比較差異無統(tǒng)計學(xué)意義(P0.05);3組間比較,妊娠期肝內(nèi)膽汁淤積癥和胎膜早破的發(fā)生率差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論青少年和高齡初產(chǎn)婦妊娠并發(fā)癥和合并癥多,但前者的妊娠結(jié)局較后者更易改善。
[Abstract]:Objective to compare the differences of obstetric complications, complications and pregnancy outcomes between adolescent primipara and other age groups. Methods the clinical data of pregnant primipara who were not complicated by pregnancy in Southwest Hospital of third military Medical University from January to December 2005 were analyzed retrospectively. According to their age, they were divided into three groups: adolescent group (鈮，

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