胎盘植入合并产前出血影响因素分析及对母婴结局的影响  

Analysis of Influencing Factors of Placenta Implantation Complicated with Prenatal Hemorrhage and its Effect on Maternal and Infant Outcomes.

作　　者：肖国瑞 黄燕 Xiao Guorui;Huang Yan(West China School of Nursing,Sichuan University/West China Second University Hospital,Sichuan University,Key Laboratory of Birth Defects and Related Diseases of Women and Children(Sichuan University),Ministry of Education,Chengdu,Sichuan 610041,China.)

机构地区：[1]四川大学华西护理学院/四川大学华西第二医院护理部,妇女儿童出生缺陷及相关疾病教育部重点实验室,四川成都610041

出　　处：《四川医学》2022年第12期1222-1226,共5页Sichuan Medical Journal

摘　　要：目的比较胎盘植入合并产前出血的影响因素及其对母婴结局的影响。方法回顾性分析2018年1月至2019年12月我院分娩的560例胎盘植入患者临床资料,比较分析175例合并产前出血产妇与385例未合并产前出血产妇母婴结局的差异及导致产前出血影响因素。结果剖宫产史、清宫次数、人流次数和胎盘植入类型是胎盘植入产妇发生产前出血的影响因素(P<0.05)。胎盘植入合并产前出血组的产妇不良结局(剖宫产、子宫切除及产后出血)发生率及新生儿不良结局(早产、转入新生儿科和新生儿窒息)发生率均高于未合并产前出血组,两组差异有统计学意义(P<0.05)。结论在胎盘植入的基础上,发生产前出血会增加孕产妇及新生儿不良结局的发生率。医务人员应根据孕妇的具体情况,及时针对性开展临床干预措施,面对突发情况积极处理,改善母婴结局确保其健康。Objective To compare the influencing factors of placenta accreta combined with prenatal hemorrhage and their effects on maternal and infant outcomes.Methods The clinical data of 560 patients with placenta accreta delivered in our hospital from January 2018 to December 2019 was retrospectively analyzed.The differences in maternal and infant outcomes and influencing factors of prenatal hemorrhage between 175 pregnant women with prenatal hemorrhage and 385 pregnant women without prenatal hemorrhage were compared and analyzed.Results Pregnant times,history of cesarean section,times of curettage,times of abortion and types of placenta accreta were the influencing factors of pre-production bleeding of placenta accreta parturients(P<0.05).The incidences of maternal adverse outcomes(cesarean section,hysterectomy and postpartum hemorrhage)and neonatal adverse outcomes(premature delivery,transfer to neonatal department and neonatal asphyxia)of placenta accreta combined with prenatal hemorrhage were higher than those of the non-bleeding group,and the differences between the two groups were statistically significant(P<0.05).Conclusion On the basis of placenta implantation,bleeding before delivery increases the incidence of maternal and neonatal adverse outcomes.Medical staff should carry out clinical intervention measures in time according to the specific situation of pregnant women,actively deal with sudden situations,and improve maternal and infant outcomes to ensure their health.

关 键 词：胎盘植入 产前出血 影响因素 母婴结局 

分 类 号：R714.462[医药卫生—妇产科学]