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目的:通过回顾性统计分析研究高龄产妇妊娠的危险因素与对妊娠结局造成的预后病症影响。方法:将2012年6月-2014年6月期间在商洛市妇幼保健院确诊并接收住院治疗观察的187例高龄产妇(35岁及以上)作为本次研究的观察组,并选取187例同期非高龄产妇(35岁以下)作为对照组,通过回顾性分析统计2组间相关指标数据研究其不同的妊娠危险并发症病因、新生儿分娩方式与出生时健康安全情况。结果:观察组(高龄产妇组)在妊娠期高血压、胎儿生长受限、早产并发症的发生率高于对照组(非高龄产妇),差异有统计学意义(P<0.05);而观察组(高龄产妇组)在新生儿分娩方式、前置胎盘、新生儿窒息、胎儿畸形、产后出血与胎膜早破并发症的发生率与对照组(非高龄产妇)相比,差异无统计学意义(P>0.05)。结论:高龄产妇易出现妊娠期高血压、胎儿生长受限、早产等妊娠期并发症,同时也增加了剖宫产分娩方式的发生率,具有一定的危险性,然而高龄产妇系列妊娠期并发症对新生儿结局影响不是很大。因此,积极进行分娩前围产期保健,加强孕前妊娠期并发症预防治疗宣传,对于高龄产妇及新生儿健康安全具有重要临床指导意义。
Objective: To retrospectively analyze the risk factors of pregnancy in pregnant women and prognosis of pregnant women. Methods: A total of 187 elderly women (aged 35 and above) who were diagnosed in Shangluo Maternal and Child Health Hospital from June 2012 to June 2014 were selected as the observation group and 187 cases of the same period Older mothers (35 years of age or younger) served as the control group. The data of the relevant indicators between the two groups were analyzed retrospectively to study the different causes of pregnancy-related complications, neonatal delivery mode and health and safety at birth. Results: The incidences of pregnancy-induced hypertension, fetal growth restriction and preterm birth complications in observation group (advanced age group) were significantly higher than those in control group (non-advanced age group) (P <0.05) (Older mothers group) had no significant difference in the neonatal delivery mode, placenta previa, neonatal asphyxia, fetal malformation, postpartum hemorrhage and the incidence of premature rupture of membranes compared with the control group (non-elder mothers) (P> 0.05). Conclusion: Older mothers prone to pregnancy-induced hypertension, fetal growth restriction, premature birth and other complications during pregnancy, but also increased the incidence of cesarean section delivery mode, with a certain risk, however, pregnant women with advanced pregnancy complications Neonatal outcome is not significant. Therefore, actively carry out prenatal care during perinatal period and strengthen the prevention and treatment of pre-pregnancy complications of publicity, for the elderly maternal and neonatal health and safety has important clinical significance.