308例高龄产妇妊娠的危险因素及对母婴结局的影响  

Risk Factors of Pregnancy in 308 Cases of Elderly Pregnant Women and the Effect on Maternal and Neonatal Outcomes

作　　者：林佩容 黎小崇[2] 李惠[2] 陈小丹[2] 

机构地区：[1]深圳市宝安区石岩人民医院塘头社区健康服务中心,广东深圳518000 [2]深圳市龙岗区人民医院千林山居社区健康服务中心,广东深圳518172

出　　处：《锦州医科大学学报》2017年第6期57-60,共4页Journal of Jinzhou Medical University

摘　　要：目的探讨高龄产妇妊娠的危险因素及对母婴结局的影响。方法选取2016年8月至2017年7月我院收治的高龄产妇308例(年龄≥35岁)作为研究组,选取同期我院收治的非高龄产妇302例(年龄<35岁)作为对照组,回顾性分析两组研究对象的临床资料,并分析影响高龄产妇妊娠的危险因素及母婴结局。结果研究组剖宫产率高于对照组,差异有统计学意义(P<0.05);研究组妊娠期高血压、妊娠期糖尿病、前置胎盘、胎膜早破发生率高于对照组,差异有统计学意义(P<0.05);而两组胎位不正、胎儿窘迫发生率比较差异无统计学意义(P>0.05);经多因素Logsitic回归分析,发现妊娠期高血压、妊娠期糖尿病、前置胎盘、胎膜早破是影响高龄产妇妊娠的独立危险因素(P<0.05);研究组产时损伤、产后出血、巨大儿、新生儿畸形、早产儿发生率均高于对照组(P<0.05);而两组围产儿死亡率比较差异无统计学意义(P>0.05)。结论高龄产妇剖宫产率较高,妊娠期高血压及糖尿病、前置胎盘、胎膜早破是影响高龄产妇妊娠的危险因素,这些因素对母婴结局都会造成影响。Objective To investigate the risk factors of pregnancy in elderly women and the influence on maternal and neonatal outcomes. Methods 308 cases of elderly pregnant women（ aged 35 years） who were treated in our hospital from August 2016 to July2017 were selected as the experimental group,while 302 cases who were younger than 35 years were selected as the control group. The clinical data of both groups of pregnant women were analyzed retrospectively. The risk factors of maternal pregnancy as well as maternal and neonatal outcomes were analyzed. Results The cesarean section rate of the experimental group was higher than that of the control group,with statistically significant difference（ P 〈 0. 05）. The incidence of pregnancy-induced hypertension,gestational diabetes mellitus,placenta previa and premature rupture of membranes was higher than that of the control group,and the differences were statistically significant（ P〈0. 05）. There were no significant differences between the incidence of malposition and fetal distress in the two groups（ P〉0. 05）. Multivariate Logsitic regression analysis found that pregnancy-induced hypertension,gestational diabetes mellitus,placenta previa and premature rupture of membranes were independent risk factors affecting pregnancy for elderly women（ P〈0. 05）.The incidence of intrapartum injury,postpartum hemorrhage,macrosomia,neonatal malformation,premature infants in the experiment group was higher than that in the control group,with statistically significant differences（ P 〈 0. 05）. There was no significant difference in perinatal mortality between the two groups（ P〉0. 05）. Conclusion The rate of cesarean section is higher in the elderly pregnant women. The risk factors of pregnancy for elderly women include pregnancy-induced hypertension,gestational diabetes mellitus,placenta previa and premature rupture of fetal membranes,which have an impact on maternal and neonatal outcomes.

关 键 词：高龄产妇 妊娠 危险因素 母婴结局 

分 类 号：R715[医药卫生—妇产科学]