高危妊娠并发症诊疗及预防的回顾性分析  

Retrospective analysis of diagnosis,treatment and prevention of 220 cases of high risk pregnancy complications

作　　者：李健霞 许剑萍[2] LI Jianxia;XU Jianping(Department of Gynaecology and Obstetrics,Pingshan County Hospital,Hebei,Pingshan 050400,China)

机构地区：[1]河北省平山县中医院妇产科,050400 [2]河北省石家庄市第五医院

出　　处：《河北医药》2018年第23期3586-3589,共4页Hebei Medical Journal

摘　　要：目的回顾性分析对高危妊娠产妇并发症的诊疗措施及预防处置的临床效果。方法收集并整理2012年1月到2017年6月收治的220例高危妊娠产妇的临床资料做回顾性分析。考察其主要并发症情况(疾病类型、发病率),临床对其诊疗和预防处置的措施及效果,及母婴的妊娠结局。结果妊娠合并内科疾病产妇最多,占50. 00%(111例);其次为羊水异常47例,占21. 36%;胎盘功能异常/过期妊娠39例(17. 92%);其他高危妊娠23例(10. 72%)。220例高危妊娠产妇中192例经合理诊疗和预防处置后,其并发症得到有效控制,坚持至分娩存活新生儿。不同类型的高危妊娠产妇有不同的妊娠结局(χ2=25. 56,P=0. 002)。192例高危妊娠产妇坚持至娩出存活新生儿,其产后平均出血量为(115. 88±5. 76) ml,均于产后7～15 d顺利出院,平均住院时间(10. 53±1. 42) d,未发生其他的产后并发症。新生儿中并发窒息13例,并发黄疸9例,并发肺炎2例。结论高危妊娠产妇需定期孕检以便及早筛查发现并发症,便于临床上施行合理的诊疗和预防处置措施,以最大可能保障孕母和胎儿的健康和生命安全,降低新生儿并发症。Objective To analyze retrospectively the clinical effects of diagnosis,treatment and prevention of complications in high-risk pregnancy women.Methods The clinical data about 220 high-risk pregnancy women who were admitted and treated in our hospital from January 2012 to June 2017 were retrospectively analyzed.The main complications including the type of disease and incidence of the disease,the measures and effects of clinical treatment and prevention,and the pregnancy outcome of mother and baby were investigated.Results The pregnant women with internal medicine diseases were the most,which accounted for 50%(111 cases),followed by those with amniotic fluid abnormality,which accounted for 21.36%(47 cases),there were 39 cases(17.92%)of placental dysfunction/prolonged pregnancy,23 cases(10.72%)of other high-risk pregnancy.Among 220 high-risk pregnant women,192 cases received reasonable diagnosis,treatment and preventive treatment,and their complications were effectively controlled until the birth of survival newborns.The different types of high-risk pregnant women had different pregnancy outcomes,the differences were significant(χ^2=25.56,P<0.05).The average postpartum hemorrhage of 192 high-risk pregnant women was(115.88±5.76)mL,and they were discharged smoothly from hospital during 7~15 days after delivery.The average hospital stay was(10.53±1.42)days.No other postpartum complications occurred.In addition 13 newborns were complicated by asphyxia,9 neonates were complicated by jaundice,and 2 neonates were complicated by pneumonia.Conclusion It is necessary for pregnant women with high risk factors to have regular pregnancy examination to screen early and find the complications in order to perform reasonable diagnostic and preventive measures in clinical practice,so as to ensure the health and safety of pregnant women and their fetuses,and to reduce neonatal complications.

关 键 词：高危妊娠 并发症 诊疗 预防 

分 类 号：R714.2[医药卫生—妇产科学]