不同孕期发生脐血流异常的影响因素及治疗效果  

The influence factors and treatment effect of abnormal umbilical blood flow

作　　者：胡海燕[1] 董瑞峰[1] 徐风森[1] 

机构地区：[1]青岛市市立医院产科, 山东省青岛266011

出　　处：《中国基层医药》2014年第2期188-190,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 回顾性分析妊娠24周后不同阶段发生脐血流异常的主要因素,并评估其治疗结局.方法 统计产科检查并分娩的脐血流异常患者256例,脐血流异常发生在孕24周后的不同阶段,并进行了常规的治疗和监测.分析不同阶段发生脐血流异常的潜在因素,以发现主要因素,并比较其治疗结局.结果 脐血流异常发生于孕期各个阶段的影响因素构成比例差异有统计学意义（x2=25.60,P＜0.05）,各期影响因素构成分别为：24 ～ 27周妊娠期高血压疾病比例最高（33.33％）,脐带因素次之（16.67％）；28～36周脐血异常的发生率升高（42.00％）,其中妊娠期高血压疾病占28.70％,脐带因素次之（15.74％）；37～40周脐带因素最多（31.37％）,虽然妊娠期高血压疾病降低,但仍占22.54％,而胎盘因素次之（12.74％）.经过治疗发现,各期治愈率差异有统计学意义（x2 =11.16,P＜0.01）,24～ 27周为89.58％,28～36周为80.55％,37～40周为69.60％.结论 妊娠期高血压疾病和脐带异常为影响孕期脐血流异常的主要因素,孕24～37周可以作为脐血流检查及治疗的敏感时期,尤其可以作为妊娠期高血压疾病的治疗监测指标.Objective To retrospectively analyze the main factors of abnormal umbilical blood flow in different stage after 24 weeks＆#39; gestation,and to evaluate its treatment outcomes.Methods 256 cases with abnormal umbilical blood flow were selected.The abnormality happened in different stages after 24 weeks＆#39; gestation and they were inspected and treated routinely.Latency factors of the different stage were analyzed to discover the primary reason,and the treatment outcomes were compared.Results The significant differences of constructional proportion were observed in different stage（x2 =25.60,P 〈 0.05）.The influence factors of different stages were as following：hypertension relative disease （33.33 %） between 24 and 27 weeks＆#39; gestation,the umbilical cord factor （16.67 %） ; the incidence rate of abnormal umbilical blood was 42% between 28 and 36 weeks＆#39; gestation,including hypertension disease（28.70%）,the umbilical cord factor（15.74%） ;umbilical cord （31.37%） between 37 and 40 weeks＆#39; gestation,although gestation period hypertension disease reduced,but still accounted for 22.54%,the placenta factor was 12.74%.After treatment,the cure rate had significant differences （x2 =11.16,P 〈0.01）,89.58% （24-27 week）,80.55% （28-36 week）,69.60% （37-40 week）.Conclusion The hypertension relative diseases and abnormal cord are the primary factors which caused abnormal umbilical blood,24-37 gestation week is the key stage for the inspection and treatment,especially for the hypertension relative diseases.

关 键 词：脐血流异常 影响因素 治疗结局 

分 类 号：R714.259[医药卫生—妇产科学]