摘要
目的 探讨早产儿的发生因素和对母儿的影响及防治。方法 收集 1989年 1月至 1998年 12月 ,10年中我院住院分娩的全部早产病例 816例 ,按前 5年和后 5年分为两组进行回顾性分析。结果 前组早产数为 5 34例 ,早产发生率为 3.2 0 % ;后组早产数为 2 82例 ,发生率为 3.0 5 % ,两组发生率对比无统计学差异 (P>0 .0 5 )。其流行病学调查显示在职业、流动人口数和产前检查方面两组对比有极其显著性差异 (P <0 .0 0 5 )。胎膜早破占早产发生因素的第一位 (39.5 8% ) ,并有增加的趋势 (后组比前组有明显增加 ,P <0 .0 5 ) ,妊高征占早产发生因素的第二位 ,并有明显的下降 (P <0 .0 1) ,其余因素无明显变化。 10年我院围产儿死亡率为 6 .36‰ ,而早产病人的新生儿死亡率为 33.0 9‰ ,两者对比差异具有极其显著性 (P <0 .0 0 5 )。结论 加强对早产发生因素的认识 ,积极进行产前治疗 ,延长孕周 。
Objective To investigate the factors causing premature delivery and influence of preventive therapy on maternity and newborns. Methods From January 1989 to December 1998, 816 pregnant women delivered preterm infant in Pu Tuo Maternity and Infant Health Hospital were collected and divided into two groups, the early 5 year group and later 5 year group, which were analyzed retrospectively. Results 3.20% (534/816) of pregnancted women delivered preterm infant in the early group and 3.05% (282/816) in the later groups respectively. Significant difference in the incidence was not observed between the two groups ( P >0.05). But the epidemiological study showed that there was very significant difference in the profession, the number of floating population and systematic perinatal care between the two groups ( P <0.005). Premature rupture of membrane was the primary factor and trend towards the increase (it was significantly higher in the later 5 year group than the early 5 year group, P <0.05), while pregnancy induced hypertension was the second factor and was significantly lower in the later 5 year group ( P < 0.01 ), whereas other factors were insignificant. The perinatal mortality within ten years in this hospital was 6.36‰ , but that of the preterm infant delivered was 33.09‰, very significant values could be found between them. Conclusion The incidence of premature delivery and perinatal mortality could be reduced if the causing factors are fully recognizcd and preventive therapy adopted to prolong the gestation period.(Shanghai Med J, 2000,23∶359 361)
出处
《上海医学》
CAS
CSCD
北大核心
2000年第6期359-361,共3页
Shanghai Medical Journal
