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目的研究妊娠合并失血性休克患者的一般资料和休克原因动态变化数据,为临床和科研工作提供依据。方法统计北京妇产医院2009年-2011年收治的妊娠合并失血性休克患者的年龄、休克发生时的产妇孕周及导致失血性休克发生的原因。比较各项指标的年度动态变化有无统计学显著差异(采用SPSS16.0统计软件进行统计分析)。结果按年度划分,患者的平均年龄分别为32.68±4.58岁、32.17±4.81岁、30.37±3.89岁,年度间无统计学差异(P<0.05);休克发生时孕产妇的平均孕周分别为36.37±4.33周、35.00±5.15周、35.71±4.90周,年度间无统计学差异(P<0.05);导致失血性休克发生的原因包括:产后宫缩乏力(年发生率分别为13/31、9/20、8/19);前置胎盘和胎盘植入(年发生率分别为8/31、6/20、6/19)、子宫阴道会阴破裂(年发生率分别为4/31、3/20、2/19)、羊水栓塞合并DIC(年发生率分别为2/31、0/20、0/19)、部分胎盘残留(年发生率分别为2/31、1/20、2/19)、其它不明原因(年发生率分别为2/31、1/20、1/19),对上述各指标进行统计学分析,年度间均无统计学显著差异(P<0.05)。结论妊娠合并失血性休克孕产妇的年龄、休克发生时的平均孕周及导致失血性休克发生的原因无明显年度变化。
Objective To study the general data of patients with hemorrhagic shock during pregnancy and the dynamic changes of shock data to provide the basis for clinical and scientific research. Methods Statistics were made on the age of patients with pregnancy-associated hemorrhagic shock in Beijing Maternity Hospital from 2009 to 2011, gestational age at shock, and the causes of hemorrhagic shock. Compare the annual dynamic changes of each index with statistical significance (using SPSS16.0 statistical software for statistical analysis). The results were divided according to the year, the average age of patients were 32.68 ± 4.58 years, 32.17 ± 4.81 years, 30.37 ± 3.89 years, no significant difference between the year (P <0.05); shock when the average gestational age of pregnant women were 36.37 ± 4.33 weeks, 35.00 ± 5.15 weeks and 35.71 ± 4.90 weeks, respectively. There was no significant difference between years (P <0.05). Causes of hemorrhagic shock included: postpartum uterine inertia (annual rates were 13 / 31,9 / 20,8 / 19); placenta previa and placenta accreta (annual incidence rates were 8/31, 6/20, and 6/19, respectively); vaginal perineal rupture (annual rates were 4 / 31,3 / 20,2 / 19), amniotic fluid embolism combined with DIC (the annual incidence rates were 2 / 31,0 / 20,0 / 19 respectively) and some placental residues (annual rates were 2 / 31,1 / 20,2 / 19 ), And other unidentified causes (the annual incidence was 2 / 31,1 / 20,1 / 19 respectively). Statistical analysis of the above indexes showed no significant difference between the years (P <0.05). Conclusion Pregnancy with hemorrhagic shock maternal age, average gestational age at the onset of shock, and the causes of hemorrhagic shock did not show any significant annual change.