医源性早产与自然性早产孕妇临床特征及妊娠结局比较  

Comparison of Clinical Characteristics and Pregnancy Outcomes between Iatrogenic Preterm Birth and Spontaneous Preterm Birth in Pregnant Women

作　　者：万瑞[1] 苏晓晓 WAN Rui;SU Xiaoxiao(Department of Obstetrics,The Yellow River Sanmenxia Hospital,Henan Sanmenxia 472001)

机构地区：[1]黄河三门峡医院产科,河南三门峡472001

出　　处：《深圳中西医结合杂志》2024年第23期23-26,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:比较医源性早产与自然性早产孕妇临床特点及妊娠结局差异,为早产高危孕妇选择医学干预时机提供参考依据。方法:回顾性分析2022年10月至2023年10月黄河三门峡医院产科110例正常妊娠早产孕妇的临床资料,根据早产是否是主动终止妊娠分为医源组(47例)和自然组(63例),采集孕妇一般情况及妊娠期健康状况等信息,并比较两组分娩方式及母婴健康状况。结果:医源组孕妇有流产史、早产史、剖宫产史的人数占比、孕周、剖宫产率均明显高于自然组,子痫前期、妊娠期外科疾病、胎儿窘迫、羊水过少、前置胎盘及产前出血发生率高于自然组,多胎妊娠、胎膜早破、胎位异常、不明原因早产发生率、顺产率、肺炎发生率低于自然组,差异均具有统计学意义(P<0.05)。医源组和自然组孕妇产后并发症发生率分别为6.38 %和11.11 %,差异无统计学意义(P>0.05)。结论:医源性早产和自然性早产孕妇临床特征存在明显差异,且与早产儿状况密切相关,明确早产病因及健康状况相关因素并给予规范指导干预,有利于减少早产发生,并改善早产儿健康状况。Objective To compare the clinical characteristics and pregnancy outcomes between iatrogenic preterm birth and spontaneous preterm birth in pregnant women and to provide a reference for the timing of medical intervention in high-risk preterm pregnancies.Methods A retrospective analysis was conducted on the clinical data of 110 pregnant women with normal preterm births from October 2022 to October 2023 in the Department of Obstetrics at the Yellow River Sanmenxia Hospital.The cases were divided into an iatrogenic group(47 cases)and a spontaneous group(63 cases)based on whether the preterm birth was due to active termination of pregnancy.Information on general conditions and health status during pregnancy were collected,and the modes of delivery and the health status of mothers and infants were compared between the two groups.Results The iatrogenic group had significantly higher proportions of women with a history of abortion,preterm birth,and cesarean section,as well as higher gestational age and cesarean section rates compared to the spontaneous group.The incidence rates of preeclampsia,surgical diseases during pregnancy,fetal distress,oligohydramnios,placenta previa,and antepartum hemorrhage were higher in the iatrogenic group than in the spontaneous group.The incidence rates of multiple pregnancies,premature rupture of membranes,abnormal fetal position,unexplained preterm birth,vaginal delivery rate,and pneumonia were lower in the iatrogenic group than in the spontaneous group,with statistically significant differences(P<0.05).The incidence rates of postpartum complications in the iatrogenic and spontaneous groups were 6.38%and 11.11%,respectively,with no statistically significant difference(P>0.05).Conclusion There are significant differences in clinical characteristics between iatrogenic and spontaneous preterm births in pregnant women,which are closely related to the condition of preterm infants.Identifying the causes of preterm birth and related factors of health status,and providing standardized guidance an

关 键 词：医源性早产 自然性早产 临床特征 妊娠结局 

分 类 号：R714.21[医药卫生—妇产科学]