妊娠期高血压孕妇发生胎盘早剥的相关危险因素及其对母婴结局的影响分析  

Analysis of Risk Factors Related to Placental Abruption in Pregnant Women with Gestational Hypertension and Their Impact on Maternal and Infant Outcomes

作　　者：秦晓艳[1] 蒙彩虹 李艳荣 Qin Xiaoyan;Meng Caihong;Li Yanrong(Nanxishan Hospital of Guangxi Zhuang Autonomous Region,Guilin,Guangxi 541002;Zhongshan County Maternal and Child Health Hospital,Guilin,Guangxi 542699;Lingchuan County Maternal and Child Health Hospital,Guilin,Guangxi 541200)

机构地区：[1]广西壮族自治区南溪山医院,广西桂林541002 [2]广西钟山县妇幼保健院,广西桂林542699 [3]广西灵川县妇幼保健院,广西桂林541200

出　　处：《中外健康》2024年第1期7-9,共3页

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z-C20220200)。

摘　　要：探讨妊娠期高血压患者发生胎盘早剥的相关危险因素及其对母婴结局的影响。选取2022年7月—2024年4月产科住院临床诊断为妊娠期高血压疾病并进行分娩的100例孕产妇为研究对象,收集母体特征、临床症状、检验指标,跟踪患者的妊娠结局。根据是否发生胎盘早剥分为病例组(n=17)与对照组(n=83)。比较两组收集的所有指标,评价涉及指标单独及联合预测胎盘早剥的价值和对母婴结局的影响。单因素分析显示,血浆纤维蛋白原(FIB)和D-二聚体表达水平有显著相关性(P<0.05)。多因素Logistic分析结果显示,FIB和D-二聚体表达水平是妊娠期高血压孕妇发生胎盘早剥的显著影响因素。并且胎盘早剥会使母婴不良结局率明显提高(P<0.05)。研究发现,对于妊娠期高血压患者,FIB和D-二聚体表达水平都是胎盘早剥的相关危险因素,临床实践中应该警惕。To explore the related risk factors of placental abruption in patients with gestational hypertension and its impact on maternal and infant outcomes.This study selected 100 pregnant women who were clinically diagnosed with gestational hypertension and gave birth in obstetrics from July 2022 to April 2024 as the research subjects.Maternal characteristics,clinical symptoms,and test indicators were collected to track the pregnancy outcomes of the patients.Divided into a case group(n=17)and a control group(n=83)based on whether placental abruption occurred.Compare all collected indicators between two groups and evaluate the value of individual and combined indicators in predicting placental abruption and their impact on maternal and infant outcomes.Single factor analysis showed a significant correlation(P<0.05)between plasma fibrinogen(FIB)and D-dimer expression levels.The results of multivariate logistic analysis showed that the expression levels of FIB and D-dimer were significant influencing factors for placental abruption in pregnant women with gestational hypertension.Moreover,placental abruption significantly increases the incidence of adverse outcomes for both mother and infant(P<0.05).Research has found that the expression levels of FIB and D-dimer are both risk factors for placental abruption in patients with gestational hypertension,and clinical practice should be cautious.

关 键 词：妊娠期高血压 胎盘早剥 母婴结局 影响因素 

分 类 号：R714.246[医药卫生—妇产科学]