不同类型胎盘早剥患者母婴结局的比较  

Comparative study on the outcomes of patients with different types of placental abruption

作　　者：刘丽燕 刘丽丽 赵正云 廖李玲 梁进 何焕群 王琼 陈亮[2] 

机构地区：[1]佛山市南海区第六人民医院妇产科,广东佛山528200 [2]复旦大学附属华山医院妇产科,上海200040

出　　处：《西部医学》2015年第5期674-676,共3页Medical Journal of West China

基　　金：国家自然科学基金(30973055)

摘　　要：目的探讨不同类型胎盘早剥患者的母婴结局,明确治疗方式及选择标准。方法纳入2008年8月至2013年8月佛山市第六人民医院收治的100例胎盘早剥患者。按照产前诊断首先将患者分为不典型胎盘早剥和典型胎盘早剥患者两组,每组50例;之后再以不典型组为观察组,对照典型胎盘早剥组,比较两组临床资料和结局。结果观察组剖宫产率为19%,对照组剖宫产率为90%(P<0.05)。观察组产后出血发生率为8%,对照组产后出血发生率为35%(P<0.05)。胎儿的健康情况与存活情况也有显著差异。结论不典型胎盘早剥母婴结局较典型胎盘早剥患者差,应早期诊断,早期干预,及时终止妊娠,减少母婴并发症的发生。Objective To investigate the outcomes of patients with different types of placental abruption. Methods 100 patients with placental abruption were divided into typical placental abruption group and atypical placental abrup- tion group. Both of them had 50 cases and we selected the typical placental abruption group to be the observation group and atypical placental abruption group to be the control group according to prenatal diagnosis. All clinical statics and outcome of the mothers and babies between the two groups of patients were compared. Results The cesarean rate of obser- vation group and control group were 19% and 90%, respectively（P〈0.05）. In the observation group, postpartum hemorrhage rate was 8% but for the other group was 35%. Moreover, the health condition and survival rate of the fetus between the two groups were significantly different. Conclusion Patients with atypical placental abruption is in greater danger than typical placental abruption patients, so early diagnosis and early treatment has very important clinical signifi- cance to strive for the rescue, timely terminate pregnancy and reduce maternal and neonatal complications.

关 键 词：胎盘早剥 分娩 终止妊娠 

分 类 号：R714.25[医药卫生—妇产科学]