产前出血的原因及妊娠结局的临床分析  

Clinical Analysis of the Causes of Antepartum Hemorrhage and the Outcome of Pregnancy

作　　者：黄燕娜 陈艳美 HUANG Yan-na;CHEN Yan-mei(Dongguan Nanhua Gynecology Hospital,Guangdong Dongguan 523000)

机构地区：[1]东莞南华妇科医院,广东东莞523000

出　　处：《深圳中西医结合杂志》2023年第1期118-120,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:分析产前出血对妊娠结局的影响。方法:从2022年3月至2022年10月东莞南华妇科医院收住的孕妇中择取120例,将其按照是否出现产前出血情况进行分组,60例出现产前出血的孕妇纳入出血组,60例未出现产前出血状况的孕妇纳入未出血组,对出血组产前出血的病因进行分析,并对两组妊娠终止孕周、剖宫产率、产后出血率和围生儿并发症发生情况进行比较。结果:60例产前出血的孕妇中,43例因前置胎盘导致(71.67%),7例因胎盘早剥导致(11.67%),5例因宫颈疾病导致(8.33%),3例因胎盘边缘血窦破裂而导致(5.00%),2例因子宫破裂而导致(3.33%)。出血组的妊娠终止孕周比未出血组早,剖宫产率、产后出血率比未出血组高,差异具有统计学意义(P <0.05)。出血组新生儿体质量偏低、早产、新生儿窒息、胎儿宫内窘迫的发生率均高于未出血组,差异具有统计学意义(P <0.05)。结论:产前出血主要与胎盘因素、宫颈因素相关,严重影响妊娠结局,使妊娠终止孕周提早,增加了剖宫产率及产后出血率,同时围生儿并发症的发生率升高,孕妇被迫提早终止孕周,因此需要予以重视,预防产前出血造成的不良影响。Objective To analyze the influence of prenatal hemorrhage on pregnancy outcome.Methods A total of 120 pregnant women admitted to Dongguan Nanhua Gynecology Hospital from March 2022 to October 2022 were selected and divided into groups according to whether there was antepartum hemorrhage.60 pregnant women with antepartum hemorrhage were included in the hemorrhage group,and 60 pregnant women without antepartum hemorrhage were included in the non-hemorrhage group.The causes of antepartum hemorrhage in the hemorrhage group were analyzed.The pregnancy termination weeks,cesarean section rate,postpartum hemorrhage rate and perinatal complications were compared between the two groups.Results Among the 60 cases of prenatal hemorrhage,43 cases were caused by placenta previa(71.67%),7 by placenta abruption(11.67%),5 by cervical disease(8.33%),3 by rupture of blood sinuses at the edge of the placenta(5.00%),and 2 by rupture of uterus(3.33%).The week of pregnancy termination in the hemorrhage group was earlier than that in the non-hemorrhage group,and the rate of cesarean section and postpartum hemorrhage were higher than those in the non-hemorrhage group,the differences were statistically significant(P<0.05).The incidence of low neonatal body weight,premature delivery,neonatal asphyxia and fetal distress in the hemorrhage group were higher than those in the non-hemorrhage group,and the differences were statistically significant(P<0.05).Conclusion antepartum hemorrhage is mainly related to placental factors and cervical factors,which seriously affects the pregnancy outcome,leading to early termination of pregnancy week,increasing the rate of cesarean section and postpartum hemorrhage rate,at the same time,the incidence of perinatal complications increases,and pregnant women are forced to terminate pregnancy week early,so we need to pay attention to prevent the adverse effects caused by antepartum hemorrhage.

关 键 词：产前出血 妊娠结局 病因分析 

分 类 号：R714.46[医药卫生—妇产科学]