高危妊娠产妇高危因素分析与治疗(1)
[摘要] 目的 分析高位妊娠产妇危险因素及其临床治疗措施，以确保孕妇与围生儿的生命安全。 方法 回顾性随机选取2014年1月—2015年6月该院收治的320例高危妊娠产妇为研究对象，将其设为观察组，同期选取320例正常产妇设为对照组，对比并分析两组产妇的引导助产分娩率、胎儿死亡率、剖宫产率。结果 观察组阴道助产分娩率、剖宫产率、胎儿死亡率分别为9.06%(29/320)、58.13%(186/320)、8.13%(26/320)，对照组阴道助产分娩率、剖宫产率、胎儿死亡率分别为3.44%(11/320)、30.63%(98/320)、1.56%(5/320)，组间对比差异有统计学意义(P<0.05)。与对照组相比，观察组高危妊娠产妇的危险因素为胎位异常、胎儿巨大、过期妊娠、早产、胎膜早破、胎儿窘迫、人工流产>3次、贫血等。结论 妊娠期加强孕前健康教育，加强高危产妇危险因素监控，对提高产妇及围生儿生命安全，减少高位妊娠发生率具有重要作用。
[关键词] 高位妊娠；产妇；危险因素；妊娠高血压；早产
[中图分类号] R714.2 [文献标识码] A [文章编号] 1674-0742(2016)01(b)-0023-03
Analysis of the High-risk Factors of High-risk Pregnancy and the Corresponding Treatment
HUANG Ya， ZHU Li-xian， ZHONG Jie， YANG Nan
Department of Obstetrics， The First Hospital of Kunming， Kunming， Yunnan Province， 650000 China
[Abstract] Objective To analyze the risk factors of high-risk pregnancy and the corresponding clinical treatment in order to ensure the safety of pregnant women and the perinatal infants. Methods 320 puerperants with high-risk pregnancy admitted in our hospital from January 2014 to June 2015 were selected as the subjects of observation group. And other 320 normal puerperants were selected as the control group. The rate of delivery with midwifery guide， fetal mortality and cesarean section rate of the two groups were compared and analyzed. Results The assisted vaginal delivery rate， cesarean section rate， fetal mortality was 9.06% (29/320)， 58.13% (186/320)， 8.13% (26/320)， respectively in the observation group， and 3.44% (11/320)， 30.63% (98/320)， 1.56% (5/320)， respectively in the control group with statistically significant differences between the two groups (P<0.05). Compared with the control group， the risk factors of the observation group were abnormal fetal position， macrosomia， prolonged pregnancy， preterm birth， premature rupture of fetal membranes， fetal distress， more than 3 times of abortion， anemia and so on. Conclusion Strengthening the pre-pregnancy health education and monitoring of the risk factors of high-risk puerperants during pregnancy are of great significance in improving the maternal-neonatal safety and reducing the incidence of high-risk pregnancy.
[Key words] High-risk pregnancy； Puerperants； Risk factors； Gestational hypertension； Preterm birth
高危妊娠是指在妊娠期间孕妇本身合并并发症或存在某种致病因素而对孕产妇及胎婴儿有较高危险，且可能危机母婴生命者，称之为高危妊娠，具有高危妊娠因素的产妇称为高危孕妇[1]。在临床上，高危妊娠产妇及胎儿的发病率和死亡率均明显高于正常妊娠，故医护人员需重点做好高危妊娠产妇的监护工作，提高其在围产期的生存率。为此，该院特回顾性随机选取2014年1月—2015年6月该院收治的320例高危妊娠产妇为研究对象，对女性发生高危妊娠的影响因素做深入研究分析，现报道如下。 (黄雅 朱丽仙 钟洁 杨楠)
[关键词] 高位妊娠；产妇；危险因素；妊娠高血压；早产
[中图分类号] R714.2 [文献标识码] A [文章编号] 1674-0742(2016)01(b)-0023-03
Analysis of the High-risk Factors of High-risk Pregnancy and the Corresponding Treatment
HUANG Ya， ZHU Li-xian， ZHONG Jie， YANG Nan
Department of Obstetrics， The First Hospital of Kunming， Kunming， Yunnan Province， 650000 China
[Abstract] Objective To analyze the risk factors of high-risk pregnancy and the corresponding clinical treatment in order to ensure the safety of pregnant women and the perinatal infants. Methods 320 puerperants with high-risk pregnancy admitted in our hospital from January 2014 to June 2015 were selected as the subjects of observation group. And other 320 normal puerperants were selected as the control group. The rate of delivery with midwifery guide， fetal mortality and cesarean section rate of the two groups were compared and analyzed. Results The assisted vaginal delivery rate， cesarean section rate， fetal mortality was 9.06% (29/320)， 58.13% (186/320)， 8.13% (26/320)， respectively in the observation group， and 3.44% (11/320)， 30.63% (98/320)， 1.56% (5/320)， respectively in the control group with statistically significant differences between the two groups (P<0.05). Compared with the control group， the risk factors of the observation group were abnormal fetal position， macrosomia， prolonged pregnancy， preterm birth， premature rupture of fetal membranes， fetal distress， more than 3 times of abortion， anemia and so on. Conclusion Strengthening the pre-pregnancy health education and monitoring of the risk factors of high-risk puerperants during pregnancy are of great significance in improving the maternal-neonatal safety and reducing the incidence of high-risk pregnancy.
[Key words] High-risk pregnancy； Puerperants； Risk factors； Gestational hypertension； Preterm birth
高危妊娠是指在妊娠期间孕妇本身合并并发症或存在某种致病因素而对孕产妇及胎婴儿有较高危险，且可能危机母婴生命者，称之为高危妊娠，具有高危妊娠因素的产妇称为高危孕妇[1]。在临床上，高危妊娠产妇及胎儿的发病率和死亡率均明显高于正常妊娠，故医护人员需重点做好高危妊娠产妇的监护工作，提高其在围产期的生存率。为此，该院特回顾性随机选取2014年1月—2015年6月该院收治的320例高危妊娠产妇为研究对象，对女性发生高危妊娠的影响因素做深入研究分析，现报道如下。 (黄雅 朱丽仙 钟洁 杨楠)