子痫前期患者胎盘早剥发生的高危因素分析  

High Risk Factors of Placental Abruption in Patients with Preeclampsia

作　　者：魏伟[1] 张婷[1] WEI Wei;ZHANG Ting(Department of Obstetrics and Gynecology,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院妇产科,郑州450052

出　　处：《四川解剖学杂志》2022年第3期31-33,共3页Sichuan Journal of Anatomy

摘　　要：目的:分析影响子痫前期患者胎盘早剥发生的高危因素.方法:选择2019年4月至2021年3月本院收治的37例发生胎盘早剥的子痫前期患者,纳入发生组;另选择同期37例未发生胎盘早剥的子痫前期患者,纳入未发生组.查阅临床资料,将可能的因素纳入,分析子痫前期患者发生胎盘早剥的高危因素.结果:发生组患者合并慢性高血压、羊水异常占比高于未发生组,纤维蛋白原(FIB)水平高于未发生组(P<0.05).经Logistic回归分析结果显示,合并慢性高血压、羊水异常、FIB水平高是子痫前期患者发生胎盘早剥的危险因素(OR>1,P<0.05).结论:子痫前期患者发生胎盘早剥受合并慢性高血压、羊水异常、FIB水平高等因素影响.Objective:To analyze the high risk factors of placental abruption in patients with preeclampsia.Methods:A total of 37 preeclampsia patients with placental abruption treated in our hospital from April 2019 to March 2021 were collected and included in occurrence group.In addition,37 preeclampsia patients without placental abruption were collected and included in non-occurrence group.The clinical data were reviewed and the possible factors were included to analyze the high risk factors of placental abruption in patients with preeclampsia.Results:The proportions of patients with chronic hypertension and abnormal amniotic fluid in the occurrence group were higher than those in the non-occurrence group,and the fibrinogen(FIB)level was higher than that in the non-occurrence group(P<0.05).Through Logistic regression analysis,the results showed that chronic hypertension,abnormal amniotic fluid and high FIB level were the risk factors of placental abruption in patients with preeclampsia(OR>1,P<0.05).Conclusion:Placental abruption in patients with preeclampsia is affected by chronic hypertension,abnormal amniotic fluid and higher FIB level.

关 键 词：子痫前期 胎盘早剥 慢性高血压 羊水异常 纤维蛋白原 

分 类 号：R714.245[医药卫生—妇产科学]