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孕期保健对高龄孕产妇并发症与妊娠结局的影响

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目的 探讨孕期保健对高龄孕产妇并发症与妊娠结局的影响.方法 从某县级医院2014年10月-2016年10月收治的2 000例高龄产妇中抽取200例进行研究,将高龄产妇分为观察组和对照组,每组各100例,观察组为孕期保健组,该组孕妇要定期进行产前检查和健康教育工作,对照组采用常规指导,对比两组患者并发症和妊娠结局情况.结果 观察组妊娠期高血压(3%)、妊娠期糖尿病(2%)、胎膜早破(4%)、产后出血(4%)等并发症的发生率均比对照组低,对照组娠期高血压(13%)、妊娠期糖尿病(14%)、胎膜早破(13%)、产后出血(24%),差异有统计学意义(P<0.05),观察组新生儿窒息(3%)、巨大儿(4%)、低血糖(3%)、红细胞增多症(2%)等新生儿并发症的发生率均比对照组低,对照组新生儿窒息(20%)、巨大儿(18%)、低血糖(12%)、红细胞增多症(10%),差异显著,具有统计学意义(P<0.05),观察组新生儿难产率(1%)、剖宫率(28%)、死胎率(0%)均比对照组低,对照组难产率(9%)、剖宫率(63%)、死胎率(7%)差异显著,具有统计学意义(P<0.05).结论 对高龄产妇进行规范化的孕期保健可以使高龄产妇的并发症发生率显著降低,减少不良妊娠结局发生,值得在临床上推广和应用.
Effects of antenatal care on maternal complications andpregnancy outcomes in elderly women
Objective To explore the effects of antenatal care on the maternal complications and pregnancy outcomes in elderly women.Methods A total of 200 cases were randomly selected among 2 000 elderly pregnant women treated during Oct.2014 and Oct.2016.The patients were divided into observation group (n=100) and control group (n=100).The observation group received antenatal care, including regular examinations and health education.The control group received routine guidance.The complications and pregnancy outcomes of the two groups were compared.Results The incidence of pregnancy-induced hypertension, gestational diabetes, premature rupture of membranes, postpartum hemorrhage of the observation group and control group were 3% vs 13%, 2% vs 14%, 4% vs 13%, and 4% vs 24%, with significant differences (P<0.05).The incidence of neonatal asphyxia, fetal macrosomia, hypoglycemia, polycythemia of the observation group and control group were 3% vs 20%, 4% vs 18%, 3% vs 12%, and 2% vs 10%, with significant differences (P<0.05).The rates of difficult labor, cesarean section, and still birth of the observation group and control group were 1% vs 9%, 28% vs 63%, and 0% vs 7%, with significant differences (P<0.05).Conclusion Antenatal care can significantly reduce the complications and adverse pregnancy outcomes.It is worth of wide clinical promotion.

antenatal careelderly pregnant womancomplicationpregnancy outcome

朱晓芬

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甘肃省古浪县中医医院妇产科,甘肃古浪 733103

孕期保健 高龄孕妇 并发症 妊娠结局

2017

国外医学(医学地理分册)
西安交通大学

国外医学(医学地理分册)

影响因子:0.757
ISSN:1001-8883
年,卷(期):2017.38(2)
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