不同年龄孕产妇妊娠期病种分布及妊娠结局的临床分析

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摘要目的探讨不同年龄孕产妇妊娠期病种的分布及妊娠结局情况。方法回顾性分析2019年1～12月在我院分娩的11 358 例产妇的临床资料，根据年龄分为高龄组（≥35 岁，1613 例）和非高龄组（＜35 岁，9745 例）。比较两组妊娠期病种情况与妊娠结局的差异。结果 ①高龄组的妊娠期糖尿病、妊娠期高血压疾病、贫血、瘢痕子宫、羊水过少、甲状腺功能减退发生率高于非高龄组，差异均有统计学意义（P＜0.05）；高龄组的胎膜早破、胎儿窘迫发生率低于非高龄组，差异有统计学意义（P＜0.05）；两组的妊娠期肝内胆汁淤积症（ICP）、胎盘早剥、前置胎盘、肥胖症、羊水过多、甲状腺功能亢进发生率比较，差异无统计学意义（P＞0.05）。②高龄组的产后出血、早产、剖宫产发生率高于非高龄组，差异均有统计学意义（P＜0.05）；两组的巨大儿、小于胎龄儿及新生儿窒息率比较，差异无统计学意义（P＞0.05）。结论高龄孕妇孕期并发症及合并症增多，剖宫产率高，妊娠结局较差，应加强高龄孕妇围生期监护。

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关键词 ：妊娠, 病种分布, 妊娠结局, 临床分析

Abstract：Objective To investigate the distribution of pregnancy diseases and pregnancy outcomes in pregnant women with different ages. Methods The clinical data of 11 358 pregnant women who delivered in our hospital from January to December 2019 were retrospectively analyzed. According to age, they were divided into the elderly group (≥35 years old) and the non-elderly group (＜35 years old), and the differences between the two groups in pregnancy diseases and pregnancy outcomes were compared. Results ①The rates of gestational diabetes, hypertensive disorders of pregnancy,anemia, scar uterus, oligohydramnios, hypothyroidism of the elderly group were higher than those of non-elderly group,with statistical differences (P＜0.05). The rates of premature rupture of membranes, fetal distress of the elderly group were lower than those of non-elderly group, with statistical differences (P＜0.05). There were no statistically significant differences between two groups in the rates among polyhydyamnios, intrahepatic cholestasis of pregnancy (ICP), placental abruption, placenta previa, obesity, hyperthyroidism (P＞0.05). ②The rates of postpartum hemorrhage, cesarean section and preterm delivery in the elderly group were higher than those in the non-elderly group, with statistical differences (P＜0.05). There were no statistically significant differences in the rates among macrosomia, small-for-gestational-age and asphyxia neonatorum (P＞0.05). Conclusion The complications of the elderly pregnant women during pregnancy are increased, the rate of cesarean section is high, pregnancy outcomes is poor, perinatal care should be strengthened in clinic.

Key words： Pregnancy Disease distribution Pregnancy outcomes Clinical analysis

收稿日期: 2020-03-06

引用本文:

李认认；孟庆勇；王欢；王娇；陈萍. 不同年龄孕产妇妊娠期病种分布及妊娠结局的临床分析[J]. 中国当代医药, 2020, 27(29): 114-116.
LI Ren-ren MENG Qing-yong WANG Huan WANG Jiao CHEN Ping. Clinical analysis of pregnancy diseases distribution and pregnancy outcomes in pregnant women with different ages. 中国当代医药, 2020, 27(29): 114-116.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2020/V27/I29/114

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