过期妊娠153例临床分析  

Clinical analysis of 153 cases with prolonged pregnancy

作　　者：彭爱珍[1] 张爱兰[1] 

机构地区：[1]杭州市萧山区妇幼保健院,浙江杭州311200

出　　处：《杭州医学高等专科学校学报》2001年第5期267-269,共3页Journal of Hangzhou Medical College

摘　　要：目的　探讨过期妊娠对母婴的影响 ,寻求正确的处理方法 ,降低围生儿病率。方法　回顾性分析 15 3例过期妊娠病例的临床资料。结果　过期妊娠组中巨大儿、羊水过少、胎儿窘迫、新生儿窒息的发生率均显著高于足月妊娠组 (P <0 .0 1、<0 .0 5、<0 .0 0 5、<0 .0 5 ) ;过期妊娠和自然分娩组的胎儿窘迫、新生儿窒息的发生率均显著高于手术产组 (P <0 .0 0 5、<0 .0 1)。结论　过期妊娠是一种病理妊娠 ,对母婴危害较大 ,应及时终止妊娠 ,争取在足月妊娠时分娩处理 ;确诊过期妊娠时应加强监护 。Objective To investigate the effects of prolonged pregnancy on mothers and infants and to seek for the correct method to decrease perinatal disease incidence. Method Clinical materials of 153 cases with prolonged pregnancy were retrospectively analyzed.Result The incidence rates of macrosomia, hypamnion, fetal distress and asphyxia neonatorum in the prolonged pregnancy group were much higher than those in the term pregnancy group (P<0.01, 0.05, 0.005, 0.05). The incidence rates of fetal distress and asphyxia neonatorum in the spontaneous labor group were much higher than those in the operative labor group among all patients with prolonged pregnancy (P<0.005, 0.01).Conclusion The prolonged pregnancy is a pathological pregnancy and is harmful to mothers and infants. The prolonged pregnancy should be terminated on time and intense care should be taken to save the neonates once the prolonged pregnancy is diagnosed.

关 键 词：过期妊娠 巨大儿 羊水过少 胎儿窘迫 手术产率 

分 类 号：R714.21[医药卫生—妇产科学]