妊娠高血压疾病并发胎盘早剥患者的临床分析  

Clinical Analysis of Pregnancy-Induced Hypertension Complicated with Placental Abruption

作　　者：黄燕[1] 

机构地区：[1]深圳市妇幼保健院产科,广东深圳518000

出　　处：《临床医学工程》2016年第5期623-624,共2页Clinical Medicine & Engineering

摘　　要：目的探讨妊娠高血压疾病并发胎盘早剥的临床特征及妊娠结局。方法选取2010年4月至2014年5月我院78例妊娠高血压疾病孕妇作为研究对象,依据有无并发胎盘早剥分为胎盘早剥组和无胎盘早剥组各39例,比较两组孕妇的年龄、血细胞比容、分娩方式、产后并发症及妊娠结局的差异。结果两组孕妇的年龄比较差异无统计学意义(P>0.05)。无胎盘早剥组的血细胞比容优于胎盘早剥组,阴道分娩率显著高于胎盘早剥组,产后DIC、产后出血等并发症发生率明显低于胎盘早剥组,胎儿窘迫、新生儿窒息及死胎发生率显著低于胎盘早剥组,差异均有统计学意义(P<0.05)。结论胎盘早剥是妊娠晚期的严重并发症,对母婴危害大,临床需加强产前检查,重视妊娠高血压疾病的防治,积极减少产后并发症的发生,改善妊娠结局。Objective To explore the clinical features and pregnancy outcome ＆pregnancy-induced hypertension complicated with placental abruption. Methods A total of 78 cases of pregnant women with pregnancy-induced hypertension in our hospital from April 2010 to May 2014 were selected. All cases were divided into the placental abruption group and non-placental abruption group, with 39 cases in each group. The age, hematocrit, delivery mode, postpartum complications and pregnancy outcome were compared between two groups. Results No statistical difference was found between two groups in the age （P 〉0.05）. The hematocrit of non-placental abruption group was significantly better than that of placental abruption group, the vaginal delivery rate was significantly higher than that of placental abruption group, the incidences of postpartum DIC, postpartum hemorrhage, fetal distress, neonatal asphyxia, and rate of fetal death were significantly lower than those of placental abruption group; all the differences were statistically significant （P〈0.05）. Conclusions placental abruption is a serious complication in late pregnancy, and has great harm to mother and child. Clinical doctors should strengthen prenatal care and pay attention to the prevention and treatment of pregnancy-induced hypertension to reduce the incidence of postpartum complications and improve pregnancy outcome.

关 键 词：妊娠高血压疾病 胎盘早剥 临床特征 妊娠结局 

分 类 号：R714.25[医药卫生—妇产科学]