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1、产前检査对妊娠结局和围生儿状况的影响[摘耍]冃的:探讨产前检査对产妇妊娠结局利围生儿状况的影响,为妇幼保健丄作提供一定理论依据。方法:通过分析过去1年内在我院分娩的1010例产妇的临床资料,比綾接受产检组与未接受产检组的产妇妊娠结局和围牛儿状况有无差异。结果:接受过正规产检的产妇发生宫内感染(P二0.003)、前置胎盘(P二0.009)、胎盘早剥(X2=5.958,P二0.015)、产后出血(P二0.006)及妊娠高血压综合征(x2二4.678,P二0.031)的比例均低于未接受产检组。同时,接受产检组低体重儿40.004)、早产儿(x2=4.409,P二0.036)、新生儿窒息(x2二13.
2、092,P二0)、新生儿颅内出血(x2=14.162,P=0)的发生率也都低于未接受产检组。结论:通过产前检查能够对妊娠中的异常状况做到早发现、早诊断、早处理,最大程度地减少了不良妊娠结局的发生,有效地保障了母婴健康。[关键词]产前检查;妊娠结局;围生儿状况[中图分类号]R714.15[文献标识码]A[文章编号]1673-7210(2011)11(b)-047-02EffectsofprenatalexaminationonperinataloutcomeofpregnancymaternalandperinatalstatusofchiIdHUANGZhujuan,WEIYeping,HUA
3、NGYanDepartmentofGynecologyandObstetrics,theFirstAffiliatedHospitalofGuangxiMedicalUniversity,GuangxiZhuangAutonomousRegion,Nanning530007,China[Abstract]Objective:Toinvestigatetheinflueneeofprenatalexaminationonpregnantoutcomeandperinatalconditionandtoprovideatheoreticalbasisformaternalandchildhealt
4、hcarework.Methods:Medicalrecordsof1010maternalswhogavebirthinourhospitalatpastoneyearwereanalyzedandpregnantoutcomeandperinatalconditionbetweenmaternalswithandwithoutperinatalexaminationwerecompared・Results:Theproportionofintrsuterineinfection(P二0.003),placentaprevia(P二0.009),placentalabruption(x2=5
5、.958,P二0.015),postpartumhemorrhage(P=0.006)andpregnancyinducedhypertension(x2=4.678,P=0.031),lowbirthweight(P=0.004),pretermchildren(x2=4.409,P=0.036),neonatalasphyxia(x2=13.092,P=0)andintracranialhemorrhageinnewborns(x2=14.162,P二0)inthewomenindividualsreceivingprenatalexaminationwere1owerthanthosen
6、otreceivingprenatdlexamination.Conclusion:Prenataiabnormalitiescanbeearlydetected,diagnosedondtreatedthroughprenatalexaminationandcanminimizetheoccurrenceofadversepregnancyoutcomesandguarantccmaternalandchildhealth・[Keywords]Prenatalexamination;Outcomeofpregnancy;StatusofchiIdrcn产前检查是指为保障产妇顺利生产和胎儿健康
7、所提供的一系列检查措丿施。在孕前、孕期、分娩时、产褥期及新生儿期的一段时期内通过完善的健康检杏能够掌握妊娠期间胎儿生长发育和母体住理变化情况,以便及早发现不利于妊娠的潜在危险因素,并及时采取相应措施,从而减少出生缺陷及遗传性疾病等影响胎儿健廉的情况发生[1-2]0因此,产前检查对丁保证产妇和胎儿安全具有非常重要的意义。本研究选取2010年广12刀在我院分娩的1010例产妇的资料进行分析,探讨产前检