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目的为了降低胎盘早剥带来的危害,对影响胎盘早剥临床结局的相关因素进行探讨,并提出相应防范策略。方法选取2009年03月至2013年03月期间,科室30例胎盘早剥患者,回顾性分析患者的临床资料,通过多因素以及单因素回归线分析患者临床结局的相关因素。结果重度胎盘早剥子痫前期患者明显多于轻度胎盘早剥,是影响胎盘早剥轻重程度的独立因素(P=0.001);重度患者出现首发症状至治疗时间明显长于轻度患者,是影响胎盘早剥轻重程度的独立因素(P=0.000);子痫前期、重度早剥、重度窒息是影响新生儿死亡的独立因素。结论影响胎盘早剥病情程度的高危因素是子痫前期,而患者发病后的处理速度不但影响患者胎盘早剥轻重,还对患者临床结局有很大影响,是重要因素。
Objective In order to reduce the harm caused by placental abruption, the factors influencing the clinical outcome of placental abruption were discussed, and the corresponding preventive strategies were proposed. Methods From March 2009 to March 2013, 30 patients with placental abruption were retrospectively analyzed. The clinical data of the patients were retrospectively analyzed. The factors related to clinical outcomes were analyzed by multivariate and one-factor regression analysis. Results Severe placental preeclampsia patients with preeclampsia were significantly more than mild placental abruption, which was an independent factor affecting the severity of placental abruption (P = 0.001); severe symptoms of patients with initial symptoms to treatment time was significantly longer than mild patients, is affected The independent factors of severity of placental abruption (P = 0.000); preeclampsia, severe abruption, severe asphyxia were independent factors affecting neonatal death. Conclusions The risk factors affecting the severity of placental abruption are preeclampsia. The incidence of placental abruption is not only the severity of placental abruption, but also has a great impact on the clinical outcome. It is an important factor.