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目的:探究不同孕周时期的胎盘早剥特点以及分析其对策。方法:从2011年1月-2013年5月在本院内接收的4471例孕妇中患胎盘早剥的孕妇有76例(本次样本统计胎盘早剥总发生率为1.7%),且她们处于不同孕周期,分析引起胎盘早剥发生的危险因素,及各时期孕妇胎盘早剥的比例,并给予治疗对策。结果:1)1组中I度中有15例(41.67%),II度有8例(22.22%),III度有13例(36.11%);2组中I度中有21例(52.50%),II度有16例(40.00%),III度有3例(7.50%);两组III度剥离方面有统计学差异(p<0.05)。2)1组中剖宫产率为27.78%(剖腹产10例),2组剖宫产率为76.19%(剖腹产32例)。结论:熟知胎盘早剥病因和临床表现有助于提前预防、减轻胎盘早剥的发生,可有效的减轻孕妇痛苦。
Objective: To investigate the characteristics of placental abruption in different gestational weeks and to analyze its countermeasures. METHODS: Seventy-six pregnant women with placental abruption among 4471 pregnant women who received in our hospital from January 2011 to May 2013 (the total incidence of placental abruption in this sample was 1.7%) and they were in different Gestational cycle, analysis of the risk factors that cause placental abruption, and the proportion of placental abruption of pregnant women in each period, and give treatment strategies. Results: 1) 15 cases (41.67%) of I degree in group 1, 8 cases (22.22%) in II degree, 13 cases (III) in III degree, 21 cases (52.50% ). There were 16 cases (40.00%) in grade II and 3 cases (7.50%) in grade III. There was a significant difference (p <0.05) in grade III peeling between the two groups. 2) The rate of cesarean section in group 1 was 27.78% (cesarean section in 10 cases) and that in group 2 was 76.19% (in cesarean section in 32 cases). Conclusion: It is helpful to know the etiology and clinical manifestations of placental abruption well in advance to prevent and reduce the occurrence of placental abruption, which can effectively alleviate the pain of pregnant women.