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目的探讨高龄孕妇不良妊娠结局的危险因素分析及其干预对策。方法选取2012年6月-2015年11月惠州市妇幼保健院收治的孕妇156例,依据年龄是否>35岁分为高龄组(72例)和正常组(84例),采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估所有孕妇情绪状态,采用新生儿窒息量表(Apgar)评估新生儿情况,统计分析所有孕妇情绪、妊娠糖尿病、胎盘早剥、新生儿体重、妊娠高血压疾病发生情况及妊娠结局。结果高龄组孕妇SAS、SDS评分明显低于正常组,前者妊娠高血压疾病、妊娠糖尿病、胎盘早剥、发生率明显高于后者,差异有统计学意义(P<0.05);高龄组孕妇剖宫产率明显高于正常组,前者Apgar评分、新生儿体重明显低于后者,差异有统计学意义(P<0.05)。结论高龄为孕妇高危因素,孕妇情绪状态较差,且易并发妊娠高血压,对妊娠结局具有不良的影响,应从情绪、血压等因素加强对高龄孕妇的围产期监护及干预,以确保母婴安全。
Objective To investigate the risk factors of adverse pregnancy outcomes in elderly pregnant women and its intervention strategies. Methods 156 pregnant women admitted to Huizhou MCH from June 2012 to November 2015 were divided into the elderly group (72 cases) and the normal group (84 cases) according to whether the age was> 35 years old. The anxiety self-rating scale (SAS), Self-rating Depression Scale (SDS) to evaluate the emotional state of all pregnant women. Neonatal asphyxia scale (Apgar) was used to evaluate the newborn’s condition. All pregnant women’s emotions, gestational diabetes mellitus, placental abruption, neonatal weight, pregnancy Hypertensive disease and pregnancy outcomes. Results The scores of SAS and SDS of pregnant women in senior group were significantly lower than those in normal group (P <0.05). The incidence of gestational hypertension, gestational diabetes mellitus and placental abruption was significantly higher than that of normal group (P <0.05) Obstetrics rate was significantly higher than the normal group, the former Apgar score, newborn weight was significantly lower than the latter, the difference was statistically significant (P <0.05). Conclusion Elderly is a risk factor for pregnant women, pregnant women with poor emotional status, and complicated by pregnancy-induced hypertension, adverse effects on pregnancy outcomes should be strengthened from the emotional and blood pressure and other factors of pregnant women in the elderly perinatal care and intervention to ensure that mothers and babies Safety.