加强妊娠期ITP产前监护对母婴分娩结局的影响  

Strengthen prenatal care for the mother and child during pregnancy ITP birth outcomes

作　　者：刘珺[1] 董旭东[1] 

机构地区：[1]云南省第一人民医院产科,云南昆明650032

出　　处：《中国妇幼保健》2013年第23期3735-3737,共3页Maternal and Child Health Care of China

基　　金：云南省中青年学术技术带头人后备人才资助项目〔2008PY045〕

摘　　要：目的:探讨产前加强监护对妊娠期合并血小板减少性紫癜(ITP)患者母婴妊娠结局的影响。方法:选取该院2010年1月～2013年1月实施产前监护的妊娠期ITP患者32例为观察组,并与2006年1月～2009年12月进行常规产前监护的妊娠期ITP患者30例(对照组)进行对比分析,观察两组产妇转归情况、妊娠合并症发生情况、剖宫产率、胎儿出生情况等方面的差异。结果:观察组监护后血小板计数高于对照组,而产中出血量、产后出血量显著低于对照组,差异有统计学意义(P<0.05)。对照组患者并发症发生率为15.63%,剖宫产率为50.00%,对照组的并发症发生率是43.33%,剖宫产率为76.67%,两组并发症发生率及剖宫产率具有统计学差异(P<0.05),而两组死亡率无统计学差异(P>0.05)。观察组新生儿Apgar评分为(9.3±1.2)分优于对照组(7.9±1.1)分,差异有统计学意义(P<0.05)。结论:对妊娠合并ITP产妇加强妊娠期监护可有效降低产妇并发症发生率,减少产妇分娩出血量,有利于提高患者血小板水平,有利于母婴预后。Objective： To investigate prenatal intensive care for pregnant women with thrombocytopenic purpura （ITP） in patients with maternal pregnancy outcome. Methods： 32 patients of ITP with implementation of prenatal care during pregnancy were selected as ob-servation group from January 2010 to January 2013 and 30 patients with ITP were selected as control group from January 2006 to December 2009. The differences of occurrence of pregnancy complications, cesarean section rate, fetal births were compared. Results： The platelet count observation group, while production in the amount of bleeding, postpartum hemorrhagewas significantly lower than that of control group, the difference was statistically significant （P 〈 0. 05 ） . The control group was 15.63% in patients with complications, cesarean sec- tion rate was 50. 00% in the control group, the incidence of complications was 43.33%, cesarean section rate was 76. 67%. There were sig- nificant differences in the incidence of complications and cesarean section rate （ P 〈 0.05 ）, while there was no significant difference in mor-tality （P 〉 0. 05 ） . Apgar score of the observation group （ 9. 3 ± 1.2 vs 7. 9 ± 1.1 ） score was higher than that of control group （ P 〈 0. 05 ） . Conclusion： ITP during pregnancy to strengthen maternal care during pregnancy can reduce the incidence of maternal compli-cations and reduce the amount of bleeding maternity, help improve patient platelet levels, is conducive to maternal and child outcomes.

关 键 词：妊娠合并ITP 产前监护 母婴分娩结局 

分 类 号：R173[医药卫生—妇幼卫生保健]