胎盘早剥并发子宫胎盘卒中的临床特征、母婴结局 及发病危险因素分析

贾建楼1 ，李艳2，杨荣3

（1.洛川县妇幼保健院，陕西 延安，727400；2.延安市宝塔区人民医院，陕西 延安，716000； 3.西安市凤城医院，陕西 西安，710018）

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摘要：

目的 分析胎盘早剥并发子宫胎盘卒中的临床特征、母婴结局及发病危险因素。方法 随机择取我院2010 年6 月至2016年6 月收治的胎盘早剥产妇80 例，按有无并发子宫胎盘卒中分为研究组（并发子宫胎盘卒中）和对照组（未并发子宫胎盘卒 中），各40 例。观察比较两组产妇的发病危险因素、临床特征及母婴结局。结果 研究组产妇子痫前期占比显著高于对照 组（P<0.05）；研究组产妇的临床特征如宫体压痛、子宫张力增高和死胎占比均显著高于对照组（P<0.05）；研究组产妇胎盘附 着子宫前后壁发生率显著高于对照组，附着于子宫底/角部发生率显著低于对照组（P<0.05）；研究组胎盘剥离Ⅰ度发生率显 著低于对照组，剥离Ⅱ度、Ⅲ度发生率显著高于对照组（P<0.05）。结论 胎盘早剥并发子宫胎盘卒中危险因素主要为子痫前 期，卒中易发生在胎盘附着的子宫前后壁，易出现母婴不良结局。

关键词：胎盘早剥；子宫胎盘卒中；母婴结局；临床特征；危险因素

中图分类号：R714文献标志码：A文章编号：2096-1413(2017)36-0144-02

Analysis of the clinical features, maternal and neonatal outcomes and risk factors of placental abruption complicating

uteroplacental apoplexy
JIA Jian-lou 1, LI Yan 2, YANG Rong 3
(1. Luochuan Maternal and Child Health Care Hospital, Yan忆an 727400; 2. People``s Hospital of Baota District, Yan忆an 716000; 3. Fengcheng Hospital of Xi``an, 710018, China)

ABSTRACT: Objective To analyze the clinical features, maternal and neonatal outcomes and risk factors of placental abruption complicating uteroplacental apoplexy. Methods From June 2010 to June 2016, 80 cases of patients with placental abruption were randomly selected and divided into study group (complicating uteroplacental apoplexy) and control group (without uteroplacental apoplexy) according to whether or not complicating uteroplacental apoplexy, with 40 cases in each group. The clinical features, maternal and neonatal outcomes and risk factors were compared in the two groups. Results The proportion of preeclampsia in the study group was significantly higher than that in the control group (P <0.05). The proportion of stillbirths, uterine tenderness and uterine tension in the study group were significantly higher than those in the control group (P<0.05). The proportion of placenta attached to the anterior and posterior walls of the uterus in the study group was significantly higher than that in the control group, and the proportion of placenta attached to uterus bottom/ corner in the study group was significantly lower than that in the control group (P<0.05). The incidence of placenta stripping Ⅰ degree in the study group was significantly lower than that in the control group, and the incidence of placenta stripping Ⅱ and Ⅲ degree in the study group were significantly higher than those in the control group (P <0.05). Conclusion The main risk factors of placental abruption complicating uteroplacental apoplexy is preeclampsia, apoplexy is prone to attach to the anterior and posterior walls of the uterus, and maternal and neonatal outcomes are bad.

KEYWORDS: placental abruption; uteroplacental apoplexy; maternal and neonatal outcomes; clinical features; risk factors

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