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目的分析181例前置胎盘与妊娠结局的关系,为临床诊疗提供参考。方法 181例前置胎盘发生率、子宫切除发生率、新生儿结局,采用Logistic回归分析筛选。结果前置胎盘的发生率为0.63%,子宫切除发生率3.87%。完全性前置胎盘产妇早产率明显高于部分性和边缘性(P<0.05)。完全性前置胎盘产妇分娩的早产儿儿1 min Apgar评分明显低于部分性和边缘性(P<0.05),经治疗后,前置胎盘5 min Apgar评分与对照组相比差异无统计学意义(P>0.05)。结论对于前置胎盘患者,应加强产前保健和监护,并做好充分准备,以改善妊娠结局和围生儿状况。
Objective To analyze the relationship between 181 cases of placenta previa and pregnancy outcome and provide reference for clinical diagnosis and treatment. Methods 181 cases of placenta previa incidence, hysterectomy incidence, neonatal outcome, using Logistic regression analysis screening. Results The incidence of placenta previa was 0.63%, the incidence of hysterectomy was 3.87%. Preterm placenta previa complete preterm birth rate was significantly higher than the partial and marginal (P <0.05). The 1-minute Apgar score of preterm infants with complete placenta previa delivery was significantly lower than that of the partial and borderline (P <0.05). After treatment, Apgar score of pre-placenta at 5 min was not significantly different from that of the control group (P> 0.05). Conclusion For patients with placenta previa, antenatal care and guardianship should be strengthened and well prepared to improve pregnancy outcomes and perinatal conditions.