189例早产的临床分析  

Clinical analysis on 189 cases of premature labour

作　　者：李新[1] 

机构地区：[1]淮北市人民医院妇产科,235000

出　　处：《安徽医学》2010年第9期1059-1061,共3页Anhui Medical Journal

摘　　要：目的探讨早产的病因以及早产儿预后的相关因素。方法对2007年1月至2008年12月住院分娩189例早产患者的临床资料进行回顾性分析,并随机抽取足月分娩的189例进行相关对照。结果不明原因早产,重度子痫前期,胎膜早破,多胎妊娠,胎位异常为早产原因的前5位,早产还与孕期母亲未做产前检查相关。早产儿病死率与孕周、体质量相关,产前皮质激素的使用可明显改善早产儿的预后。结论早产病因复杂,减少早产的发生率关键是重视围生期保健,加强对高危妊娠的管理,积极防治妊娠并发症。Objective To explore the causes of premature labour and the related factors to prognosis of the premature.Methods The clinical data of 189 patients with premature labar in the last two years were analyzed and compared to that of 189 cases with full term de-liver randomly selected.Results The preceding causes of premature labour were spontaneous of premature labour for unexplained causes,pre-eclampsia,,premature rupture of membrane,multiple pregnancy,and abnormal fetal position The main causes for iatrogenic of premature labour were pre-eclampsia,and pre-partum hemorrhage.It was related with premature labou that pregnant woman didn＇t accept prenatal examination,The morbidity of premature had correlation with the gestational age and birth weight.Antenatal cortocosteroids significantly improved the newborn prognosis.Conclusion The cases of premature labour is complicated.The key issue to reduce the incidence of premature labour is to pay attention to perinatal care,improve the management of high risk gestation and prevent complications.

关 键 词：早产 相关因素 并发症 

分 类 号：R714.21[医药卫生—妇产科学]