胎盘早剥与绒毛膜羊膜炎的相关性分析(1)
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【摘要】目的：探讨胎盘早剥的发生因素，并分析有无绒毛膜羊膜炎对围产儿的影响。方法：采用回顾性病例对照研究设计，对比分析2007年12月～2009年12月3年间，在我院住院分娩的52例胎盘早剥患者，其中20例有绒毛膜羊膜炎，32例无绒毛膜羊膜炎。结果：胎盘早剥有易发因素存在，妊娠期高血压疾病(36.5%)、胎膜早破(30.8%)、脐带因素(13.5%)、羊水过多(7.7%)、外伤(3.8%)、原因不明(7.7%)。在有绒毛膜羊膜炎的胎盘早剥患者中早产儿、低出生体重儿的发生率高于无绒毛膜羊膜炎者；然而，围产儿结局如新生儿窒息、新生儿死亡、低脐动脉pH值的发生率没有明显的不同。结论：胎膜早破和妊娠期高血压疾病是胎盘早剥发生的主要因素，有绒毛膜羊膜炎的胎盘早剥患者与无绒毛膜羊膜炎者相比，尽管早产的发生率不同，但新生儿的情况没有明显不同。
【关键词】绒毛膜羊膜炎；胎盘早剥；病因；围产儿结局
Placental abruption with human chorionic amniotic membrane inflammation of the correlation analysis
LiYuezhi ChangXueyan【Abstract】Aim: to explore the placental abruption occurred factors, and without human chorionic amniotic membrane inflammation analysis for perioperative births influence. Method: a retrospective case-control study design, comparison and analysis of the December 2007 ~ 2009 on December 3 years, in our hospital inpatient delivery 52 cases of placental abruption patients, including 20 cases had human chorionic amniotic membrane inflammation, 32 cases without human chorionic amniotic membrane inflammation. Results: of placental abruption have cross-bred factors, gestational hypertension disease (yesterday), the tyre premature rupture of membrane (30.8%), umbilical cord factors (13.5%), hydramnios (7.7%), trauma (3.8%), idiopathic (7.7%). In a human chorionic amniotic membrane inflammation in patients of placental abruption premature and low birthweight than without the incidence of amniotic membrane inflammation person; the gut However, surround births ending as neonatal asphyxia, neonatal death, low umbilical arterial pH incidence of no significant differences. Conclusion: tire premature rupture of membrane and gestational hypertensive disease is abruption occurred, there are the main factors differentiate of inflammation of placental abruption amniotic membrane inflammation in patients with and without human chorionic than those who, despite the incidence of preterm neonates situation is different, but no significant different.
【Key words】Gut amniotic membrane inflammation, Placental abruption, Etiology, Wai births ending
【中图分类号】R169【文献标识码】A【文章编号】1005-0515(2010)012-0072-02 ......
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