206例不同孕周胎盘早剥临床特点、防治措施及母婴预后观察  

Clinical Features, Control Measures and Prognosis Observation of Maternal and Infant of Placental Abruption(206 cases)in Different Gestational Age

作　　者：张佩玲[1] 罗淑贞[1] 

机构地区：[1]广州市花都区人民医院,广东广州510800

出　　处：《临床医学工程》2016年第4期447-448,共2页Clinical Medicine & Engineering

摘　　要：目的 分析不同孕周胎盘早剥的临床特点、应对措施及对母婴预后的影响。方法 回顾性分析我院2012年1月至2015年6月收治的206例胎盘早剥患者的资料。将患者根据孕周分为三组,分别为A组（〈34周,39例）、B组（34~37周,115例）、C组（〉37周,52例）,观察各组临床特点、应对措施及母婴预后。结果 胎盘早剥患者的临床表现复杂多样,并无特异性。三组腹痛/腰酸、阴道流血发生率从高到低分别为A组〉B组〉C组（P〈0.05）;C组无明显症状患者的构成比例显著高于B组（P〈0.05）。A组、B组胎盘早剥Ⅱ度和Ⅲ度比例均显著高于C组（P〈0.05）。三组产妇严重并发症发生率比较差异不显著（P〉0.05）;A组新生儿窒息、围生儿死亡率明显高于B组和C组（P〈0.05）。结论 孕周越小,胎盘早剥严重程度越高,围生儿预后越差。胎盘早剥一旦确诊,应根据严重程度及时采取措施,并做好抢救准备;同时应加强围产期保健,消除胎盘早剥的诱发因素,降低发病率。Objective To analyze the clinical features, treatment measures and its influence on the prognosis of maternal and infant of placental abruption in different gestational age. Methods The data of 206 patients with placental abruption treated in our hospital from January 2012 to June 2015 were retrospectively analyzed. All patients were divided into three groups according to the gestational age： group A （〈34 weeks, 39 cases）, group B （34 ~ 37 weeks, 115 cases） and group C （〉37 weeks, 52 cases）. The clinical features, treatment measures and maternal and neonatal prognosis of three groups were observed. Results The clinical features of patients with placental abruption were complicated, various and non-specific. The incidence of stomachache/backache and vaginal bleeding of three groups from high to low was group A〉group B〉group C, P 〈0.05; the rate of patients without obvious symptoms in group C was higher than that of group B （P 〈0.05）. The rate of placental abruption in II and I[Idegree of group A and group B was higher than that of group C （P 〈0.05）. The incidence of severe complications of maternal women in three groups had no statistical difference （P 〉0.05）; the neonatal asphyxia rate and perinatal mortality of group A was higher than that of group B and group C （P〈0.05）. Conclusions The smaller the gestational age, the higher the severity of placental abruption, the worse the prognosis of perinatal infants. Once the diagnosis of placental abruption is made, treatment measures should be taken timely according to the severity of the disease, preparation of emergency treatment should be ready, perinatal health care should be strengthened, in order to eliminate the induced factors of placental abruption and reduce the morbidity.

关 键 词：不同孕周 胎盘早剥 特点 防治措施 母婴预后 

分 类 号：R714.2[医药卫生—妇产科学]