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目的研究并分析前置胎盘的临床特征和治疗结局。方法对68例前置胎盘患者和100例非前置胎盘患者进行临床病因、产后出血情况及新生儿结局对比分析。结果前置胎盘患者的平均年龄、平均孕次、产后出血率及新生儿窒息率均明显高于非前置胎盘患者(P<0.05);完全性前置胎盘患者造成早产、产后出血和新生儿体重过低的例数明显多于部分性前置胎盘和边缘性前置胎盘患者,差异具有统计学意义(P<0.05)。结论前置胎盘的发生原因与患者的年龄及孕次有关,同时完全性前置胎盘造成患者及胎儿的临床结局比较严重,应尽量减少妊娠次数,可减少前置胎盘的发生率,分娩时应根据实际情况适时选择剖宫处理,改善母婴的临床结局。
Objective To study and analyze the clinical features and treatment outcomes of placenta previa. Methods 68 cases of placenta previa and 100 cases of placenta previa patients with clinical etiology, postpartum hemorrhage and neonatal outcome comparison analysis. Results The average age, average gestational age, postpartum hemorrhage rate and neonatal asphyxia in patients with placenta previa were significantly higher than those without placenta previa (P <0.05). Premature placenta, postpartum hemorrhage and neonatal The number of cases with underweight was significantly higher than that in partial placenta previa and marginal placenta previa (P <0.05). Conclusions The cause of placenta previa is related to the age and pregnancy time of the patients. At the same time, the clinical outcome of patients with complete placenta previa and fetal fetus is more serious. The number of pregnancy should be reduced as much as possible and the incidence of placenta previa should be reduced. According to the actual situation to choose timely cesarean section to improve the clinical outcome of mother and child.