摘要
目的研究早期先兆流产保胎治疗的应用与妊娠结局。方法选择2016年1月—2017年1月早期先兆流产保胎治疗患者50例作为观察组,并采用无早期先兆流产正常产妇50例作为对照组,分析保胎治疗效果,对两组患者产后出血量、新生儿Apgar评分和胎盘粘连、前置胎盘发生率、新生儿窒息、巨大儿、妊娠高血压综合征、早产等母婴并发症发生率进行比较。结果观察组保胎成功率82.00%。观察组胎盘粘连、前置胎盘发生率高于对照组,P<0.05。观察组新生儿窒息、巨大儿、妊娠高血压综合征、早产等母婴并发症发生率和对照组对比,差异无统计学意义,P>0.05。观察组患者产后出血量、新生儿Apgar评分和对照组对比,差异无统计学意义,P>0.05。结论早期先兆流产保胎治疗的应用效果确切,经早期处理,保胎成功率高,除了胎盘粘连、前置胎盘发生率有所提高,对母婴结局无明显不良影响。
Objective The application of the treatment of early threatened abortion and pregnancy outcome. Methods From January 2016 to January 2017, early treatment of 50 cases of patients with threatened abortion as the observation group, 50 cases of normal pregnant women without early threatened abortion were used as control group, analysis of therapeutic effect of tocolysis, two groups of patients with postpartum hemorrhage, neonatal Apgar score and placenta adhesion, placenta previa incidence, macrosomia, neonatal asphyxia, premature birth, comprehensive maternal and child syndrome morbidity compared with pregnancy induced hypertension. Results The observaation group success rate of 82%. The incidence of placenta adhesion and placenta previa in the observation group was higher than that in the control group, P 〈 0.05. Observation group neonatal asphyxia, macrosomia, pregnancy induced hypertension syndrome, premature delivery and other maternal and child complications incidence compared with the control group, the difference was not statistically significant, P 〉 0.05. The observation group of postpartum hemorrhage volume, neonatal Apgar score and the Control group contrast, the difference was not statistically significant, P 〉 0.05. Conclusion The application effect of early threatened abortion treated by exact, early treatment, the success rate is high, in addition to placenta adhesion, placenta previa incidence increased, no significant adverse effects on pregnancy outcome.
出处
《中国继续医学教育》
2017年第22期129-130,共2页
China Continuing Medical Education
