重度胎盘早剥对母婴结局的影响  

Effects of Severe Placental Abruption on Mother-infant Prognosis

作　　者：蒋丽江[1] 黄春容[1] 周琼[1] 

机构地区：[1]佛山市顺德区第一人民医院产科,广东佛山528300

出　　处：《中南医学科学杂志》2013年第2期174-176,共3页Medical Science Journal of Central South China

摘　　要：目的探讨重度胎盘早剥对母婴结局的影响。方法将在本院进行治疗的胎盘早剥孕产妇50例分为轻度组36例(Ⅰ、Ⅱ度胎盘早剥),重度组14例(Ⅲ度胎盘早剥)。比较两组的母婴结局。结果轻度组的平均分娩孕周显著大于重度组(P<0.01)。重度组行剖宫产手术、子宫切除、合并有妊娠期高血压、子宫胎盘卒中、产后出血、凝血功能异常、弥散性血管内凝血(DIC)、失血性贫血均高于轻度组(P<0.05)。重度组早产、重度窒息、死胎、围生儿死亡率和转入NICU率均显著高于轻度组(P<0.01),新生儿出生体重低于轻度组(P<0.01)。结论重度胎盘早剥严重威胁着母婴的健康和生命,临床上应推广规律的产前检查,以及时发现问题,改善预后。Objective To discuss effect of severe placental abruption on mother - infant prognosis. Methods 50 cases with premature separation of placenta from Jan 2010 to Jun 2012 were selected. 36 cases were light placental abruption, and 14 cases were severe placental abruption. Motherinfant prognosis was analyzed. Results The gestational time of light group was longer than severe group（ P 〈 0. 01 ）. Severe group have more caesarean and uterectomy with gestational hypertension, uteroplacental apoplexy, postpartum hemorrhage, coagulation disorders, DIC, hemorrhagic anemia than light group （ P 〈 0. 05 ）. Severe group had lighter rate of premature birth, severe asphyxia, stillbirth, perinatal mortality, transferring into NICU than light group（P 〈0.01 ）. Birth weight of infants severe group was lower than light group（P 〈0. 01 ）. Conclusion Severe placental abruption threaten maternal and child health and life. Regular prenatal care should be spread to find problem in time and improve prognosis.

关 键 词：孕产妇 胎盘早剥 母婴结局 

分 类 号：R714.56[医药卫生—妇产科学]