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目的探讨前置胎盘的恰当治疗方法以及对母婴结局的影响。方法对56例前置胎盘孕产妇,并从同期治疗的胎盘位置正常孕产妇中,随机选择56例孕产妇作为对照组。结果前置胎盘组的产后出血量显著高于对照组,前置胎盘组56例有43例(76.8%)行剖宫产终止妊娠,13例(23.2%)经阴道分娩,有2例(3.6%)胎儿死亡,其中死胎死产1例。未有孕产妇发生产褥感染。组对象的胎儿死亡率差异无统计学意义(P<0.05),前置胎盘组的剖宫产率显著高于对照组(P<0.05)。结论对前置胎盘患者进行早期诊断,选择恰当的治疗方法和治疗时机,有利于提高临床治疗效果。
Objective To investigate the appropriate treatment of placenta previa and its impact on maternal and infant outcomes. Methods Fifty-six pregnant women with placenta previa and 56 pregnant women as control group were randomly selected from normal pregnant women with placenta at the same period. Results The amount of postpartum hemorrhage in the placenta previa group was significantly higher than that in the control group. In the placenta previa group, 43 cases (76.8%) underwent cesarean section termination of pregnancy, 13 cases (23.2%) had vaginal delivery, and 2 cases (3.6 %) Fetal deaths, of which 1 died of stillbirth. No puerperal infection occurred in pregnant women. There was no significant difference in fetal mortality between the two groups (P <0.05). The cesarean section rate in the placenta previa group was significantly higher than that in the control group (P <0.05). Conclusion Early diagnosis of placenta previa patients, select the appropriate treatment methods and timing of treatment is conducive to improving the clinical treatment.