既往胎盘植入史对二胎分娩妇女母婴结局的影响  

Influence of placenta accreta history on maternal and infant outcomes of women with second child delivery

作　　者：李宁[1] 刘辉[2] 王磊[2] LI Ning;LIU Hui;WANG Lei(Department of Gynecology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Obstetrics,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院妇科门诊,郑州450052 [2]郑州大学第一附属医院产科,郑州450052

出　　处：《医药论坛杂志》2023年第14期19-22,26,共5页Journal of Medical Forum

摘　　要：目的探讨既往胎盘植入(placenta accreta spectrum disorders,PAS)病史对妇女二胎分娩母婴结局的影响。方法应用回顾性队列研究方法,选取2015年3月—2020年7月郑州大学第一附属医院住院分娩二胎309例妇女,将其中既往有PAS病史的二胎分娩妇女103人作为病例组,按照1∶10的比例标准随机选择既往无PAS病史的二胎分娩妇女1030人作为对照组,再应用倾向性评分匹配(propensity score matching,PSM)法构建对照组206人。对比分析PSM后两组产妇二胎分娩的母婴结局。结果PAS病史是二胎分娩妇女发生全身麻醉、剖宫产、产后出血、输血、人工剥离胎盘、PAS、早产儿的危险影响因素(P<0.05),OR(0.95CI)分别为:1.826(1.024~3.257)、2.015(1.260~3.223)、1.426(1.091~1.864)、1.915(1.398~2.623)、5.172(2.327~11.497)、3.018(1.665~5.469)、1.586(1.042~2.413)。结论PAS病史不利于妇女二胎分娩的母婴结局。Objective To explore the influence of past history of placenta accreta spectrum disorders(PAS)on maternal and infant outcomes of women's second child delivery.Methods Retrospective cohort study was used.A total of 309 women admitted to the First Affiliated Hospital of Zhengzhou University to give birth to their second child from March 2015 to July 2020 were selected.103 women with a history of PAS were selected as case group,and 1030 women with no history of PAS were randomly selected as control group according to the 1∶10 ratio standard.A control group of 206 people were a lot score matching(PSM).Compare and analyze the maternal and infant outcomes of the second child delivery between the two groups after PSM.Results The history of PAS was the risk factor of general anesthesia,cesarean section,postpartum hemorrhage,blood transfusion,artificial placental abruption,PAS and premature infant(P<0.05).OR(0.95CI)were 1.826(1.024~3.257),2.015(1.260~3.223),1.426(1.091~1.864),1.915(1.398~2.623)and 5.172,respectively.Conclusion PAS history is not conducive to the maternal and infant outcome of women's second child delivery.

关 键 词：胎盘植入 二胎 母婴结局 

分 类 号：R714.2[医药卫生—妇产科学]