资源描述:
《高龄孕妇妊娠结局及其影响因素分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、海南医学2017年4月第27卷第8期HainanMedJ,Apr.2017,Vol.27,No.8doi:10.3969/j.issn.1003-6350.2017.08.049·临床经验·高龄孕妇妊娠结局及其影响因素分析唐大欣,朱芳,王珊(达州市达县人民医院妇产科,四川达州635000)【摘要】目的比较高龄孕妇与非高龄孕妇妊娠结局的差异,并探讨影响妊娠结局的相关因素。方法回顾性分析达州市达县人民医院2013年4月至2016年4月期间收治的1035例孕妇的相关临床资料,其中高龄孕妇组501例,非高龄孕妇组534例,比较两组孕妇的妊娠合并症、并发
2、症及妊娠结局,并采用χ2检验分析相关因素对其的影响。结果妊娠期高血压、妊娠期肝内胆汁淤积症(ICP)、妊娠期糖尿病,流产率、新生儿畸形、胎膜早破等方面,高龄组孕妇的发生率均明显高于非高龄组,差异均具有统计学意义(P<0.05);高龄组孕妇的自然分娩率明显低于非高龄组,而难产率和死胎率却明显高于非高龄组,差异均具有统计学意义(P<0.05);高龄组孕妇的多次流产、心理忧郁或焦虑、不良生育史、疤痕子宫、生殖功能评价差、肥胖等6方面的发生率均明显高于非高龄组,差异均具有统计学意义(P<0.05)。结论高龄孕妇的妊娠结局较差,多次流产、心理忧郁或焦虑、
3、不良生育史、疤痕子宫、生殖功能评价差、肥胖是影响高龄孕妇妊娠结局的因素。【关键词】高龄孕妇;并发症;妊娠结局;因素【中图分类号】R714.14【文献标识码】A【文章编号】1003—6350(2017)08—1340—03Analysisofpregnancyoutcomeanditsinfluencingfactorsinelderlypregnantwomen.TANGDa-xin,ZHUFang,WANGShan.DepartmentofObstetricsandGynecology,DaxianPeople'sHospital,Dazho
4、u635000,Sichuan,CHINA【Abstract】ObjectiveTocomparedifferenceofpregnancyoutcomesbetweenelderlyandnon-elderlypregnantwomen,andtoexploretherelatedfactorsaffectingtheoutcomeofpregnancy.MethodsTheclinicaldataof1035preg-nantwomaninDaxianPeople'sHospitalfromApril2013toApril2016werer
5、etrospectivelyanalyzed.Pregnancycom-plications,complicationsandpregnancyoutcomeswerecomparedbetweenthetwogroups.Chi-squaretestwasusedtoanalyzetheinfluenceofrelatedfactors.ResultsTheincidencerateofpregnancyinducedhypertension,intrahepaticcholestasisofpregnancy(ICP),gestationa
6、ldiabetesmellitus,abortionrate,neonatalmalformationandprematureruptureofmembranesofelderlypregnantwomengroupweresignificantlyhigherthanthoseofthenon-elderlypregnantwomengroup(P<0.05).Thenaturallaborrateinelderlypregnantwomengroupwassignificantlylowerthanthatinnon-elderlypreg
7、nantwomengroup,butthedystociaandstillbirthrateweresignificantlyhigherthanthoseofthenon-elderlypreg-nantwomengroup(P<0.05).Theincidencerateofmultipleabortion,psychologicaldepressionoranxiety,abnormalchild-bearinghistory,scaruterus,poorreproductivefunctionevaluationandobesityi
8、nelderlypregnantwomengroupweresignificantlyhigherthanthoseofthenon-elderlyp