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早產(chǎn)相關(guān)因素及早產(chǎn)兒結(jié)局分析

發(fā)布時(shí)間:2018-06-24 來(lái)源: 美文摘抄 點(diǎn)擊:


  [摘要] 目的 探究和分析引發(fā)產(chǎn)婦早產(chǎn)的相關(guān)因素以及早產(chǎn)兒的妊娠結(jié)局。方法 方便選擇該院自2016年1—12月收治的90例分娩早產(chǎn)病例作為研究組,并選擇90例同期分娩的足月病例作為對(duì)照組,通過(guò)對(duì)比兩組產(chǎn)婦的臨床資料及妊娠結(jié)局,分析引發(fā)產(chǎn)婦早產(chǎn)的相關(guān)危險(xiǎn)因素以及對(duì)早產(chǎn)兒妊娠結(jié)局的影響。結(jié)果 研究組產(chǎn)婦年齡>35歲(15.6%),胎盤(pán)植入、胎盤(pán)早剝(10.0%)、流產(chǎn)史(30.0%)、早產(chǎn)史(31.1%)、未正規(guī)產(chǎn)檢(17.8%)、產(chǎn)前出血(23.3%)、胎膜早破(33.3%)、妊娠期肝內(nèi)膽汁淤積(8.9%)、子癇前期(35.6%)、羊水過(guò)少(24.4%)、胎兒宮內(nèi)窘迫(26.7%)高于對(duì)照組產(chǎn)婦年齡>35歲(3.3%)、胎盤(pán)植入、胎盤(pán)早剝(2.2%)、流產(chǎn)史(5.6%)、早產(chǎn)史(4.4%)、未正規(guī)產(chǎn)檢(7.8%)、產(chǎn)前出血(5.6%)、胎膜早破(12.2%)、妊娠期肝內(nèi)膽汁淤積(1.1%)、子癇前期(6.7%)、羊水過(guò)少(7.8%)、胎兒宮內(nèi)窘迫(6.7%),且以上比較差異有統(tǒng)計(jì)學(xué)意義;另外,早產(chǎn)兒出生體重越輕、胎齡越小,其并發(fā)缺血缺氧性腦病、呼吸窘迫綜合征、窒息、肺炎以及死亡的概率越大。結(jié)論 產(chǎn)婦早產(chǎn)和產(chǎn)婦的年齡大于35歲、胎盤(pán)植入、胎盤(pán)早剝、流產(chǎn)史、早產(chǎn)史等多種因素有關(guān),產(chǎn)婦及臨床需根據(jù)這些因素做好相關(guān)的防預(yù)措施,才能有效降低早產(chǎn)兒的發(fā)生率和改善早產(chǎn)兒妊娠結(jié)局。
  [關(guān)鍵詞] 早產(chǎn);相關(guān)因素;早產(chǎn)兒結(jié)局
  [中圖分類(lèi)號(hào)] R4 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742(2018)01(c)-0102-03
  [Abstract] Objective This paper tries to explore and analyze the related factors of premature delivery and the pregnancy outcome of premature infants. Methods 90 cases of preterm birth cases were selected from January to December 2016. 90 cases of full-term delivery were convenient selected of the same period as the control group. By comparing the clinical data and pregnancy of the two groups, the causes of maternal preterm birth related risk factors and the impact of premature infant pregnancy outcome were analyzed. Results The maternal age above 35 years old in the treatment group (15.6%), placenta implantation, placental abruption (10.0%), history of abortion(30.0%), premature birth history (31.1%), not regular prenatal(17.8%), antepartum haemorrhage(23.3%), premature rupture of membranes(33.3%), intrahepatic cholestasis during pregnancy (8.9%), preeclampsia (35.6%), oligohydramnios (24.4%), fetal distress (26.7%), higher than the control group whose age above 35 years old (3.3%), placenta implantation, placental abruption (2.2%), history of abortion (5.6%), premature birth history (4.4%), not regular prenatal (7.8%), antepartum haemorrhage (5.6%), premature rupture of membranes (12.2%), intrahepatic cholestasis during pregnancy (1.1%), preeclampsia (6.7%), oligohydramnios (7.8%), fetal distress (6.7%), and the above were statistically significantly different in contrast; In addition, preterm infants were born with a lower weight and younger age, and the greater the risk of ischemic encephalopathy, respiratory distress syndrome, asphyxia, pneumonia and death. Conclusion Maternal preterm birth and women older than 35 years old, placenta implantation, placental abruption, history of miscarriage, premature birth history and other factors, maternal and clinical needs to make relevant prevention measures according to these factors, which can effectively reduce the incidence of preterm infants and improve pregnancy outcome in preterm neonates.

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