高龄经产妇围生期临床特点及妊娠结局分析  

Analysis of the perinatal features and pregnancy outcome in elder multiparas

作　　者：黄雅青[1] 王亮[1] 

机构地区：[1]浙江省人民医院产科,浙江杭州310014

出　　处：《全科医学临床与教育》2012年第4期400-402,共3页Clinical Education of General Practice

摘　　要：目的探讨高龄经产妇的围生期临床特点及妊娠结局,为临床上改善高龄经产妇的围生期预后提供指导。方法选择单胎高龄经产妇共109例作为研究组,随机选取同期分娩的109例单胎适龄经产妇作为对照组。比较两者在妊娠期合并症及并发症、分娩方式以及新生儿情况、剖宫产指征上的差异。结果研究组合并子宫肌瘤的病例数明显多于对照组,差异有统计学意义(χ2=10.17,P<0.05)。在妊娠期并发症方面,研究组妊娠期高血压疾病及胎盘早剥的病例数明显多于对照组,差异均有统计学意义(χ2分别=5.68、6.17,P均<0.05)。研究组的剖宫产率明显高于对照组,差异有统计学意义(χ2=6.84,P<0.05)。两组孕妇在妊娠期胆汁淤积征、前置胎盘、胎膜早破及早产指标比较,差异均无统计学意义(χ2分别=0.21、0.21、0.75、0.22,P均>0.05)。结论高龄经产妇妊娠期常伴随子宫肌瘤、妊娠期高血压疾病、胎盘早剥等影响妊娠结局的因素,并有较高的剖宫产率。Objective To analyze the clinical features of perinatal period and the pregnancy outcome for improving the prognosis of elder multiparas. Methods One hundred and nine elder muhiparas and 109 younger multiparas who gave birth to single fetus were retrospectively analyzed. The incidences of pregnancy complications, condition of new bores and indications of cesarean section were compared between these two groups. Results The incidences of hysteromyoma was significantly higher in elder multiparas group than that in the younger group （χ2=10.17,P〈0.05）. As to the complications in pregnancy, the incidences of hypertensive disorders in pregnancy and placenta abruption in elder multiparas were signif- icantly higher than those in the younger group （χ2=5.68,6.17,P〈0.05）; the rate of cesarean section was also significantly higher in elder multiparas （χ2=6.84,P〈0.05）. There were no differences in the incidence of intrahepatic eholestasis of pregnancy,placenta previa,premature rupture of memberane ,and premature labor between these two groups（χ2=0.21,0.21, 0.75,0.22,P〉0.05 ）. Conclusions The incidence of pregnancy complications and the rate of cesarean section were more commen in the elder multiparas.

关 键 词：高龄经产妇 围生期 妊娠结局 剖宫产 

分 类 号：R714.7[医药卫生—妇产科学]