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目的:胎盘早剥的相关危险因素的临床分析及其诊治措施。方法:对从2012到2013就诊我院的29例胎盘早剥患者的临床资料作为治疗组,以就诊我院的40例健康的产妇为对照组,分析胎盘早剥的临床诊治和相关危险因素及对其进行Logistic回归分析。结果:胎盘早剥患者治疗后均痊愈;Logistic回归分析结果显示两组患者的胎膜早破、羊水量异常、吸烟、高血压、高龄产妇是患者胎盘早剥的五个相关危险因素,具有同相性,危险性随着OR值的增加而显著提高。结论:重视胎盘早剥的各种高危因素,结合临床表现及实验室仪器检查,进行早期预测、诊断、治疗和定期检查,尽量减少围产期母儿的发病率和死亡率。
Objective: To analyze the related risk factors of placental abruption and its diagnosis and treatment. Methods: The clinical data of 29 cases of placental abruption patients from 2012 to 2013 in our hospital were selected as the treatment group. 40 healthy maternal women in our hospital were selected as the control group. The clinical diagnosis and treatment of placental abruption and related risk factors were analyzed. Logistic regression analysis. Results: The patients with placental abruption recovered after treatment. Logistic regression analysis showed that premature rupture of membranes, abnormal amniotic fluid volume, smoking, hypertension and maternal age were the five risk factors of placental abruption in both groups. Phase, risk with the OR value increased significantly increased. CONCLUSIONS: Various risk factors for placental abruption are valued. Combined with clinical manifestations and laboratory tests, early prediction, diagnosis, treatment and regular examination are performed to minimize the incidence and mortality of perinatal maternal and childbirth.