高原与平原地区348例产妇的产科相关因素对比分析  

Analysis of obstetric related factors of 348 women with pregnancy in plateau region and in plain region

作　　者：童英[1] 张蕾[1] 魏建梗[2] 邹蜜[2] 黄莉莉[2] 

机构地区：[1]解放军空军总医院妇产科,北京100036 [2]西藏军区总医院

出　　处：《中国临床保健杂志》2007年第5期458-460,共3页Chinese Journal of Clinical Healthcare

摘　　要：目的探讨高原与平原地区产妇的产科特点,以期提高高原地区产科质量。方法收集2004年1月至2005年2月间分别在高原地区(高原组)及平原地区(平原组)住院分娩的产妇各174例的临床资料,就其产科相关因素进行对比性分析。结果高原组产妇孕期定期产前检查率(54.0%)低于平原组(94.2%),P<0.01;高原组剖宫产率(50.6%)高于平原组(38.5%),P<0.05;高原组孕足月新生儿平均出生体重(3068.01±432.72)g低于平原组(3451.49±487.26)g,P<0.05。妊娠期高血压疾病居高原组产科并发症之首位,发生率达11.5%。结论加强孕产妇系统管理,积极防治产科并发症特别是妊娠期高血压疾病,是提高高原地区产科质量的重要措施。Objective To explore the characteristics of obstetric related factors of pregnant women in plateau region and in plain region for improving the obstetric quality in plateau region. Methods 174 women labored in hospital of plateau region （plateau group） were compared in obstetric related factors with 174 ones in plain （plain group） from Jan 2004 to Feb 2005. Results The rate of regular antenatal examination of pregnant women in plateau group（54.0% ） was significantly lower than that of plain group（94.2% ）, P 〈 0. 01 ;Cesarean rate in plateau group（ 50. 6% ） was higher than that in plain group （ 38.5% ）, P 〈 0. 05 ; The average birth weight of neonate with term delivery in plateau group （ 3068.01± 432.72） g was lower than that of plain group （ 3451.49±487.26 ） g, P〈0.05. Hypertensive disorder complicating pregnancy was the most obstetric complications in plateau group, the incidence reached to 11.5 %. Conclusion To enhance systematic supervision of pregnant women, to prevent and cure obstetrics complications, particularly hypertensive disorder complicating pregnancy, are the important means to raise obstetric quality in plateau region.

关 键 词：妊娠并发症 高血压 妊娠性 产科生产 高海拔 

分 类 号：R714[医药卫生—妇产科学]