植入胎盘发生的危险因素及新型健康管理模式  

High Risk of Placenta Accrete and a New Model of Health Management in Yunnan Province

作　　者：李勤[1] 李春梅[2] 李俊[2] 胡艳丽 LI Qin;LI Chun-mei;LI Jun;HU Yan-li(Physical Examination Center of Cadre of The No.2 People＇s Hospital of Yunnan Province,KunmingYunnan 650021;Obstetrical Department of The No.2 People＇s Hospital of Yunnan Province,KunmingYunnan 650021;2.Party Committee of Directly Affiliated Units,Kunming Medical University,KunmingYunnan 650500,China)

机构地区：[1]云南省第二人民医院干部体检中心,云南昆明650021 [2]云南省第二人民医院产科,云南昆明650021 [3]昆明医科大学直属单位党委办公室,云南昆明650500

出　　处：《昆明医科大学学报》2018年第11期52-55,共4页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(2018FB083)

摘　　要：目的通过对植入胎盘病例的回顾性调查,找出其发生的危险因素,探索新型健康管理模式以降低植入胎盘发生率及致残率。方法连续抽取2014年1月至2017年6月云南省第二人民医院产科共46例植入胎盘病例,采用Logistic回归分析,计量资料用t检验,计数资料用χ2检验等方法分析植入胎盘影响因素,探索新型健康管理模式。结果单因素分析显示:分娩年龄(P<0.001),流产次数(P=0.003),剖宫产史(P<0.001),产检次数(P<0.001),经济收入(P<0.001),产时出血量(P<0.001),前置胎盘等超声检查异常情况与胎盘植入有相关性;新生儿窒息发生率(P=0.005),胎儿出生体重(P=0.014)差异有统计学意义。结论产次、剖宫产史、分娩年龄是胎盘植入的主要危险因素。同时也需关注流产次数,产检次数,孕期超声检查情况等相关因素,因此针对植入胎盘的高危因素制定新型健康管理模式尤为重要。Objective A retrospective study of placenta accreta in No.2 People＇s Hospital of YunnanProvince. And to find high risk of placenta accreta and to explore a new model of health management in order to lowerthe risks of placenta accreta.Methods Medical records of 46 patiens admitted to the Department of obstetrics,No.2 People＇s Hospital of Yunnan Province between Jan. 2014 and Jul 2017 were studied retrospectively. Meantime,we also performed a retrospective study of 80 cases of normal puerperae in the same period.Multivariate logisticregression;t test ;χ2test were used to analyze the placenta accreta.We made individuation health managementaccording to the study. Results Analysis indicated placenta accreta had higher incidence in following situation：delivery age, abortive times, history of caesarean section, abortive times, economic？income, amount ofpostpartum bleeding,placenta previa and so on （ P〈 0.001）;The formation rate of asphyxia neonatorum（P=0.005）;higher birth weight（ P= 0.014 ） are most important ones.Conclusions The factors such as parity,history of caesarean section,delivery age are main risk factors of the placenta accreta.We also take care of theabortive times,placenta previa and so on （abnormal ultrasound condition） . More attention should be paid to thenew model of health management in Yunnan Province.

关 键 词：胎盘植入 危险因素 健康管理模式 

分 类 号：R714.462[医药卫生—妇产科学]