治疗性早产267例临床分析(1)
[摘要]目的 探讨治疗性早产的发生率、发生因素、分娩方式、分娩时机及对母婴预后的影响。方法 回顾性分析2012年1月～2015年12月江苏大学附属医院发生的267例治疗性早产的临床资料，分析治疗性早产的发生因素、不同孕龄治疗性早产儿的并发症及围生儿死亡情况。结果 治疗性早产发生率为3.33%，占早产总例数的51.35%。产前出血、妊娠期高血压疾病是导致治疗性早产的前两位因素。治疗性早产组的剖宫产率显著高于自发性早产组，差异有统计学意义(P<0.01)。治疗性早产组的早产儿窒息率显著低于自发性早产组，差异有统计学意义(P<0.01)。治疗性早产组的产妇产后出血率及围生儿死亡率显著低于自发性早产组，差异有统计学意义(P<0.05)；孕龄≥34周的早产儿并发症发生率及围生儿死亡率明显低于孕龄<34周的早产儿，差异有统计学意义(P<0.01)。结论 治疗性早产已逐渐成为早产的主要原因，适时选择治疗性早产对降低孕产妇死亡率及提高围生儿存活有益处。
[关键词]治疗性早产；发生率；发生因素；分娩方式；分娩时机；剖宫产术
[中图分类号] R714.21 [文献标识码] A [文章编号] 1674-4721(2016)10(c)-0075-04
[Abstract]Objective To explore the incidence rate，occurrence factor，delivery methods，delivery opportunity in medical-indicated preterm labor and the influence on the prognosis of pregnant women and the newborns.Methods The clinical data of 267 cases of medical-indicated preterm labor in Affiliated Hosipital of Jiangsu University from Jamuary 2012 to December 2015 were analyzed retrospectively.The cause of medical-indicated preterm labor was analyzed.The complications and mortality of medical-indicated preterm labor infants in different pregnanly weeks were analyzed.Results The total incidence rate of medical-indicated preterm labor was 3.33%，accounting for 51.35% of the total recorded preterm births.The top two causes of the medical-indicated preterm labor were antepartum hemorrhage and hypertensive disorders complicating pregnancy.The cesarean section rate of medical-indicated preterm labor delivery was higher than that of natural premature deliver，with significant difference (P<0.01).The rate of pretem infants suffocation in medical-indicated preterm labor was lower than that in the natural prermature delivery，with significant difference (P<0.01).The rate of postpartum hemorrhage，death of prematal infants in medical-indicated preterm labor was lower than that of natural premature delivery，with significant difference (P<0.05).The incidence rate of complication and death rate of preterm infants with gestational weeks greater than or equal to 34 weeks was lower than that of preterm infants with gestational weeks less than 34 weeks，with significant difference (P<0.01).Conclusion The medical-indicated preterm labor has became the main reason of the preterm birth.Appropriate choice of medical-indicated preterm labor can be beneficical to reduce the mortality of pregnant women and increase survival rate of prenatal infants.
[Key words]Medical-indicateel preterm labor；Incidence rate；Occurrence factor；Delivrery method；Delivery opportunity；Cesarean section (王华 马小艳)
[关键词]治疗性早产；发生率；发生因素；分娩方式；分娩时机；剖宫产术
[中图分类号] R714.21 [文献标识码] A [文章编号] 1674-4721(2016)10(c)-0075-04
[Abstract]Objective To explore the incidence rate，occurrence factor，delivery methods，delivery opportunity in medical-indicated preterm labor and the influence on the prognosis of pregnant women and the newborns.Methods The clinical data of 267 cases of medical-indicated preterm labor in Affiliated Hosipital of Jiangsu University from Jamuary 2012 to December 2015 were analyzed retrospectively.The cause of medical-indicated preterm labor was analyzed.The complications and mortality of medical-indicated preterm labor infants in different pregnanly weeks were analyzed.Results The total incidence rate of medical-indicated preterm labor was 3.33%，accounting for 51.35% of the total recorded preterm births.The top two causes of the medical-indicated preterm labor were antepartum hemorrhage and hypertensive disorders complicating pregnancy.The cesarean section rate of medical-indicated preterm labor delivery was higher than that of natural premature deliver，with significant difference (P<0.01).The rate of pretem infants suffocation in medical-indicated preterm labor was lower than that in the natural prermature delivery，with significant difference (P<0.01).The rate of postpartum hemorrhage，death of prematal infants in medical-indicated preterm labor was lower than that of natural premature delivery，with significant difference (P<0.05).The incidence rate of complication and death rate of preterm infants with gestational weeks greater than or equal to 34 weeks was lower than that of preterm infants with gestational weeks less than 34 weeks，with significant difference (P<0.01).Conclusion The medical-indicated preterm labor has became the main reason of the preterm birth.Appropriate choice of medical-indicated preterm labor can be beneficical to reduce the mortality of pregnant women and increase survival rate of prenatal infants.
[Key words]Medical-indicateel preterm labor；Incidence rate；Occurrence factor；Delivrery method；Delivery opportunity；Cesarean section (王华 马小艳)