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目的:分析妊娠合并血小板减少的病因及预后。方法:选取本院2010年10月~2013年10月诊治的妊娠合并血小板减少患者76例为观察组,选取本院同期妊娠血小板正常孕妇76例为对照组,分析两组孕妇的血小板计数分布情况、预后情况,比较两组孕妇的分娩前后的血小板计数改变情况。结果:对照组孕妇血小板计数分布情况明显好于观察组,对照组孕妇剖宫产率、产后出血发生率、早产发生率均明显低于观察组,差异均有统计学意义(p<0.05)。分娩前,对照组孕妇血小板计数明显高于观察组。分娩后,两组孕妇血小板计数均显著增加,对照组孕妇血小板计数明显高于观察组。差异均有统计学意义(p<0.05)。结论:妊娠合并血小板减少是临床常见病症,会对母婴妊娠结局造成明显影响。
Objective: To analyze the etiology and prognosis of pregnancy with thrombocytopenia. Methods: Totally 76 patients with pregnancy complicated with thrombocytopenia diagnosed and treated in our hospital from October 2010 to October 2013 were selected as observation group. 76 normal pregnant women with gestational platelets in our hospital were selected as the control group. The distribution of platelet count , Prognosis, comparison of changes in platelet count before and after delivery in two groups of pregnant women. Results: The distribution of platelet count in pregnant women in the control group was significantly better than that in the observation group. The cesarean section rate, the incidence of postpartum hemorrhage and the incidence of preterm birth in the control group were significantly lower than those in the observation group (p <0.05). Before delivery, the control group of pregnant women, the platelet count was significantly higher than the observation group. After delivery, the platelet count of both groups increased significantly, and the control group had significantly higher platelet count than the observation group. The differences were statistically significant (p <0.05). Conclusion: Pregnancy with thrombocytopenia is a common clinical condition, will have a significant impact on maternal and fetal pregnancy outcomes.