论文部分内容阅读
目的探讨胎盘早剥并发子宫胎盘卒中产妇的发病危险因素、临床特征、母婴结局及其与产前诊断的关系。方法选取2012年7月至2014年7月73例经手术证实的胎盘早剥产妇为研究对象,将其分为观察组(32例)和对照组(41例),观察组产妇并发子宫胎盘卒中,对照组产妇未并发子宫胎盘卒中,采用回顾性分析方法探讨观察组子宫胎盘卒中产妇的发病危险因素、临床特征、母婴结局及与产前诊断的关系,并与对照组产妇进行比较。结果观察组产妇发生在子痫前期发病率为75%(24/32)高于对照组21.95%(9/41),差异有统计学意义(P<0.05);两组产妇在在宫体压痛、弥散性血管内凝血、休克、子宫张力增高及胎死宫内发生率比较,差异有统计学意义(P<0.05);两组产妇产前B超检查提示胎盘早剥检出率分别为78.13%(25/32)和46.34%(16/41),差异有统计学意义(P<0.05);两组产妇胎盘位置及胎盘剥离面积比较,差异有统计学意义(P<0.05)。结论重视产前检查和诊断,及早诊断胎盘早剥并发子宫胎盘卒中,并采取积极措施干预,以改善其预后。
Objective To investigate the risk factors, clinical features, maternal and infant outcomes and their relationship with prenatal diagnosis of placental abruption in patients with placental abruption. Methods Totally 73 pregnant women with placental abruption confirmed from July 2012 to July 2014 were selected as study group and divided into observation group (32 cases) and control group (41 cases). The observation group was complicated with uterine placental stroke , The control group of maternal uncomplicated uterine placental stroke, the use of retrospective analysis of the observation group of uterine placenta patients with maternal risk factors, clinical features, maternal and infant outcomes and prenatal diagnosis, and compared with the control group of mothers. Results The incidence of preeclampsia was 75% (24/32) in observation group and 21.95% (9/41) in control group, the difference was statistically significant (P <0.05) , Disseminated intravascular coagulation, shock, increased uterine tension and intrauterine fetal mortality rate, the difference was statistically significant (P <0.05); prenatal B ultrasound examination of the two groups suggest that the detection rate of placental abruption were 78.13 % (25/32) and 46.34% (16/41), respectively. The difference was statistically significant (P <0.05). There were significant differences in placental location and placental detachment area between the two groups (P <0.05). Conclusions Emphasis on prenatal examination and diagnosis, early diagnosis of placental abruption complicated by uterine placental stroke, and take active measures to intervene in order to improve its prognosis.