不同病因医源性早产的围生儿结局分析

发布时间：2018-03-18 23:11

本文选题：医源性　切入点：早产　出处：《实用妇产科杂志》2015年10期 　论文类型：期刊论文

【摘要】：目的:探讨不同病因医源性早产(IPD)与围生儿结局的关系。方法:回顾性分析2008年1月至2012年12月在我院分娩的医源性早产病例992例,根据剖宫产终止妊娠的IPD的不同病因,分为妊娠期高血压疾病(HDP)组351例,前置胎盘组260例,瘢痕子宫组145例,胎盘早剥组115例,妊娠期肝内胆汁瘀积症(ICP)组78例,羊水过少组43例。比较6组产妇的一般情况、分娩孕周分布、新生儿出生情况及主要并发症的发生率和新生儿出生后第7天存活率情况。结果:各组存活率均随孕周增加而增加,各组存活率比较差异有统计学意义,P0.01。单胎新生儿体重由轻到重依次为:HDP组、羊水过少组(或胎盘早剥组)、ICP组、前置胎盘组(或瘢痕子宫组);黄疸发生率由高到低依次为:ICP组(或瘢痕子宫组或HDP组)、羊水过少组、胎盘早剥组(或前置胎盘组);贫血发生率由高到低依次为:胎盘早剥组、前置胎盘组、瘢痕子宫组,瘢痕子宫组与ICP组、HDP组、羊水过少组比较差异无统计学意义;颅内出血发生率胎盘早剥组高于其他各组,P0.05。双胎各种新生儿主要并发症的发生率均高于单胎,P0.01。结论:不同病因IPD的新生儿存活率显著不同,随孕周增加而增加,但出生情况、主要并发症的发生率不同,双胎新生儿主要并发症的发生率均高于单胎。
[Abstract]:Objective: to investigate the relationship between iatrogenic premature delivery (IHD) and perinatal outcome of different etiology. Methods: a retrospective analysis of 992 cases of iatrogenic preterm delivery from January 2008 to December 2012 was carried out in our hospital, according to the different etiology of IPD in terminating pregnancy by cesarean section. There were 351 cases of hypertension complicating pregnancy group, 260 cases of placenta previa group, 145 cases of scar uterus group, 115 cases of placental abruption group, 78 cases of intrahepatic cholestasis of pregnancy group and 43 cases of oligohydramnios group. The distribution of gestational weeks of delivery, the incidence of neonatal birth and major complications, and the survival rate on the 7th day after birth. Results: the survival rate of each group increased with the increase of gestational week. The survival rate of each group was significantly different (P 0.01). The weight of single fetal newborns from light to heavy was: 1: HDP group, oligohydramnios group (or placental abruption group, ICP group), The incidence of jaundice from high to low in placenta previa group (or scar uterus group or HDP group), oligohydramnios group, placental abruption group (or placenta previa group), anemia rate from high to low were: placental abruption group. There was no significant difference among placenta previa group, scar uterus group, scar uterus group and ICP group, oligohydramnios group. The incidence of intracranial hemorrhage in placental abruption group was higher than that in other groups (P 0.05). The incidence of major complications of twins was higher than that of single fetus P0.01.Conclusion: the survival rate of neonates with different etiology of IPD is significantly different and increases with the increase of gestational week, but the birth condition. The incidence of major complications was different, and the incidence of major complications of twin neonates was higher than that of single fetus.
【作者单位】：湖北省妇幼保健院;
【分类号】：R714.7

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