产前检查对妊娠结局和围生儿状况的影响(1)
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[摘要] 目的：探讨产前检查对产妇妊娠结局和围生儿状况的影响，为妇幼保健工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1 010例产妇的临床资料，比较接受产检组与未接受产检组的产妇妊娠结局和围生儿状况有无差异。结果：接受过正规产检的产妇发生宫内感染(P=0.003)、前置胎盘(P=0.009)、胎盘早剥(χ2=5.958，P=0.015)、产后出血(P=0.006)及妊娠高血压综合征(χ2=4.678，P=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(P=0.004)、早产儿(χ2=4.409，P=0.036)、新生儿窒息(χ2=13.092，P=0)、新生儿颅内出血(χ2=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)-047-02
Effects of prenatal examination on perinatal outcome of pregnancy maternal and perinatal status of child
HUANG Zhujuan, WEI Yeping, HUANG Yan
Department of Gynecology and Obstetrics, the First Affiliated Hospital of Guangxi Medical University, Guangxi Zhuang Autonomous Region, Nanning 530007, China
[Abstract] Objective: To investigate the influence of prenatal examination on pregnant outcome and perinatal condition and to provide a theoretical basis for maternal and child health care work. Methods: Medical records of 1 010 maternals who gave birth in our hospital at past one year were analyzed and pregnant outcome and perinatal condition between maternals with and without perinatal examination were compared. Results: The proportion of intrauterine infection (P=0.003), placenta previa (P=0.009), placental abruption (χ2=5.958, P=0.015), postpartum hemorrhage (P=0.006) and pregnancy induced hypertension (χ2=4.678, P=0.031), low birth weight (P=0.004), preterm children (χ2=4.409, P=0.036), neonatal asphyxia (χ2=13.092, P=0) and intracranial hemorrhage in newborns (χ2=14.162, P=0) in the women individuals receiving prenatal examination were lower than those not receiving prenatal examination. Conclusion: Prenatal abnormalities can be early detected, diagnosed and treated through prenatal examination and can minimize the occurrence of adverse pregnancy outcomes and guarantee maternal and child health.
[Key words] Prenatal examination; Outcome of pregnancy; Status of children
产前检查是指为保障产妇顺利生产和胎儿健康所提供的一系列检查措施。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查能够掌握妊娠期间胎儿生长发育和母体生理变化情况 ......
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