[1]林丽珍.妊娠晚期产前出血对妊娠结局的影响[J].福建医药杂志,2020,42(05):27-28.
　LIN Lizhen.Influence of antepartum hemorrhage in late pregnancy on outcome of pregnancy[J].FUJIAN MEDICAL JOURNAL,2020,42(05):27-28.
点击复制

妊娠晚期产前出血对妊娠结局的影响()
分享到：

《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
42
期数:
2020年05期
页码:
27-28
栏目:
临床研究
出版日期:
2020-10-20

文章信息/Info

Title:
Influence of antepartum hemorrhage in late pregnancy on outcome of pregnancy
文章编号:
1002-2600(2020)05-0027-03
作者:
林丽珍
福建医科大学省立临床医学院 福建省立医院妇产科(福州 350001)
Author(s):
LIN Lizhen
Department of Gynaecology and Obstetrics, Fujian Provincial Hospital, Provincial Medical College of Fujian Medical University,Fuzhou, Fujian 350001, China
关键词:
妊娠晚期;  产前出血;  妊娠结局;  新生儿预后
Keywords:
late pregnancy;  antepartum hemorrhage;  pregnancy outcome;  neonatal outcome
分类号:
R714.25
文献标志码:
B
摘要:
目的 探讨妊娠晚期产前出血对妊娠结局的影响。方法 回顾性选取2016年1月至2020年1月我院妇产科妊娠晚期孕妇100例,依据产前出血情况分为产前出血组(n=50)和产前未出血组(n=50),对产前出血组孕妇妊娠晚期产前出血发生原因进行分析,对两组孕妇的妊娠结局及新生儿预后进行统计学分析。结果 产前出血组孕妇50例中,妊娠晚期产前出血发生原因为前置胎盘25例(50.0%),胎盘早剥16例(32.0%),宫颈疾病7例(14.0%),前置血管破裂2例(4.0%)。产前出血组孕妇的阴道分娩率显著低于产前未出血组(P<0.05),剖宫产率、产后出血率、子宫切除率均显著高于产前未出血组(P<0.05),早产率、胎儿窘迫率、新生儿窒息率、死胎率均显著高于产前未出血组(P<0.05)。结论 妊娠晚期产前出血可对妊娠结局造成不良影响,值得临床重视。
Abstract:
Objective To explore the effect of prenatal hemorrhage in late pregnancy on the outcome of pregnancy.Methods A total of 100 women in late pregnancy in our hospital from January 2016 to January 2020 were selected retrospectively.According to the situation of prenatal bleeding, they were divided into two groups: prenatal hemorrhage group(n=50)and prenatal non bleeding group(n=50).The causes of antenatal hemorrhage in the late pregnancy of pregnant women in the prenatal hemorrhage group were analyzed, and the pregnancy outcomes and newborn outcomes of the two groups were statistically analyzed.Results Of the 50 cases of pregnant women in the prenatal hemorrhage group, 25 cases(50.0%)had placenta previa, 16 cases(32.0%)had abruption of placenta, 7 cases(14.0%)had cervical diseases, and 2 cases(4.0%)had rupture of previa.The vaginal delivery rate of pregnant women of the prenatal hemorrhage group was significantly lower(P<0.05); the cesarean section rate, postpartum hemorrhage rate and hysterectomy rate were significantly higher(P<0.05); the premature delivery rate, fetal distress rate, neonatal asphyxia rate and stillbirth rate were significantly higher than the prenatal non bleeding group(P<0.05).Conclusion Prenatal hemorrhage in late pregnancy will cause adverse effects on the outcome of pregnancy, so it is worthy of clinical attention.

参考文献/References:

[1] 徐静,陈艳琴,王家俊.妊娠晚期产前出血对母婴结局的影响分析[J].蚌埠医学院报,2019,44(1):28-30.
[2] 周鸿亚,朱美娣,戴红艳, 等.产前超声检查对妊娠晚期产科性出血病因的诊断价值[J]中国计划生育和妇产科,2019,11(6):60-62.
[3] 崔秋月,郑蓉,杨帆.孕晚期B族链球菌感染情况对妊娠结局的影响[J].传染病信息,2019,32(6):542-544.
[4] 张丽,雷燕喆,肖桂华, 等.晚期早产儿双胎与足月双胎母儿围产期情况分析[J].中国生育健康杂志,2019,30(3):270-272.
[5] Kang-Yi C D, Kornfield S L,Epperson C N,et al.Relationship between pregnancy complications and psychiatric disorders and their treatment: a population-based matched-controlled group comparison[J].Psychiatr Serv,2018,69(3): 300-307.
[6] Hirst J E, Villar J, Victora C G, et al.The antepartum stillbirth syndrome: risk factors and pregnancy conditions identified from the INTERGROWTH-21st Project[J].BJOG,2018,125(9): 1145-1153.

更新日期/Last Update: 2020-10-20