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目的分析高龄与适龄孕产妇并发症的发病率,为孕妇保健和育龄妇女选择适当的生育年龄提供依据,为孕产期并发症的治疗寻求对策。方法对某三甲医院2014年1月1日至2016年3月31日出院的产妇按年龄≥35岁(高龄组)和年龄<35岁(适龄组)分为两组,共计6924例。用χ2检验分析两组并发症发病率的差异。结果妊娠子娴、子娴前期、合并高血压、合并糖尿病、合并子宫瘢痕,产后出血、胎盘异常(胎盘滞留出血、前置胎盘、胎盘粘连出血、胎盘早剥、胎盘植入残留)在高龄组的发病率上高于适龄组,经过发生率的χ2检验,所有并发症发生率在两个年龄组比较的P值<0.05,两组发病率差异具有统计学意义。结论育龄妇女应尽量适龄生育;一旦发生危害母子健康的并发症,应规范产前检查,积极应对;生产时注意优质护理。医疗卫生部门要正确应对国家的生育政策,做好高龄产妇并发症的预防和管理。
OBJECTIVE: To analyze the incidence of complications of elderly and age-matched maternal complications and provide the basis for choosing appropriate age of childbirth for pregnant women and women of childbearing age, and to seek solutions for the treatment of complications during pregnancy and childbirth. Methods A woman discharged from a hospital from January 1, 2014 to March 31, 2016 in a top three hospital was divided into two groups according to the age of 35 years old (advanced age group) and age <35 years (age group), a total of 6924 cases. Χ2 test was used to analyze the differences in the incidence of complications between the two groups. Results In the advanced age group, there was no significant difference in the age of the pregnant women between the first trimester of pregnancy and the first trimester of pregnancy, with hypertension, diabetes mellitus, uterine scarring, postpartum hemorrhage, placental abnormalities (placental hemorrhage, placenta previa, placental adhesion hemorrhage, placental abruption, placenta accreta) The incidence of morbidity was higher than that of the age group. The incidence of all complication rates was significantly lower than that of the two age groups (P <0.05). The incidence of morbidity between the two groups was statistically significant. Conclusion The women of childbearing age should be of childbearing age. In the event of complications that endanger the health of the mother and the child, prenatal care should be standardized to deal with it positively. Attention should be paid to quality care during the production. Health and medical departments should correctly respond to the country’s reproductive policy and prevent and manage the complications of older mothers.