高龄产妇妊娠风险的回顾性分析  

Retrospective analysis of pregnancy risk in the advanced maternal age

作　　者：周雪贵 袁江[1] 薛桂各 ZHOU Xuegui;YUAN Jiang;XUE Guige(Department of Obstetrics&Gynecology,Binzhou People's Hospital,Binzhou 256610,Shandong,P.R.China)

机构地区：[1]滨州市人民医院妇产科,山东滨州256610

出　　处：《滨州医学院学报》2020年第2期118-121,共4页Journal of Binzhou Medical University

摘　　要：目的为加强高龄产妇孕期保健、改善妊娠结局提供科学的依据。方法收集≥35岁的高龄组病例2994例,和同期住院分娩的适龄组16172例,对比分析两组产妇的病历资料。结果高龄组妊娠期糖尿病、前置胎盘、胎盘早剥等妊娠合并症或并发症明显高于适龄组(P<0.05);高龄组胎儿生长受限、胎儿畸形等围生儿不良结局发生率均高于适龄组(P<0.01);高龄组干预性早产比适龄组干预性早产发生率高(P<0.01)。结论高龄妊娠母婴不良妊娠结局多,应加强高龄产妇围产期保健以降低合并症和远期并发症的发生率,保障母婴安全健康,应提倡适龄妊娠。Objective To provide a scientific basis for strengthening the health care of high-age women during pregnancy and improving pregnancy outcome.Methods Totally 2994 cases in the advanced maternal age group≥35 years and 16172 cases in child-bearing age pregnancy at the same time of inpatient delivery were collected,and the medical records of the two groups were compared and analyzed.Results The complications of gestational diabetes mellitus,preplacental placenta and placental abruption in the advanced maternal age group were significantly higher than those in the child-bearing age group(P<0.05),and the incidences of adverse outcomes such as fetal growth restriction and fetal malformation in the advanced maternal age group was significantly higher than those in the child-bearing age group(P<0.01).The incidence of intervention preterm delivery in the advanced maternal age group was higher than that in the child-bearing age group(P<0.01).Conclusion In order to reduce the incidence of comorbidities and long-term complications,to ensure the safety and health of mothers and infants,we should promote appropriate age pregnancy.

关 键 词：高龄产妇 妊娠合并症及并发症 妊娠结局 干预性早产 

分 类 号：R730.2[医药卫生—肿瘤]