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目的:探讨胎盘早剥对母婴妊娠结局的影响,为防治胎盘早剥供依据。方法:将98例胎盘早剥患者依据胎盘早剥程度分为轻型组和重型组,对两组患者进行跟踪随访,比较两组患者的母婴妊娠结局情况。结果:胎盘早剥重型组的剖宫产、产后出血、子宫胎盘卒中、DIC等发生率均明显高于对轻型组(P<0.05);重型组的胎儿窘迫、新生儿窒息、围生儿死亡等发生率均明显高于对轻型组(P<0.05)。结论:胎盘早剥发生的危险因素较多,应针对这些危险因素采取预防措施;做到早发现、早诊断、早治疗,减少胎盘早剥对母婴预后的影响。
Objective: To investigate the impact of placental abortion on maternal and fetal pregnancy outcomes for the prevention and treatment of placental abruption based on. Methods: According to the degree of placental abruption, 98 cases of placental abruption were divided into two groups according to their degree of placental abruption. Follow-up was conducted on both groups, and the maternal and fetal pregnancy outcome was compared between the two groups. Results: The incidence of cesarean section, postpartum hemorrhage, uterine placental stroke and DIC were significantly higher in the severe group with placental abruption than those in the light group (P <0.05). The fetal distress, neonatal asphyxia and perinatal death in the severe group Were significantly higher than those in the light group (P <0.05). CONCLUSION: There are many risk factors for placental abruption. Preventive measures should be taken according to these risk factors. Early detection, early diagnosis and early treatment should be done to reduce the impact of placental abruption on prognosis.