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徐晓明1 李玉岩2▲ 文 英3.凶险性前置胎盘发生的相关因素分析[J].中国现代医生,2021,59(4):54-56+60
凶险性前置胎盘发生的相关因素分析
Analysis of related factors of pernicious placenta previa
  
DOI:
中文关键词:  凶险性前置胎盘  既往流产次数  年龄  相关因素
英文关键词:Pernicious placenta previa  Previous abortions  Age  Related factors
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徐晓明1 李玉岩2▲ 文 英3 1.大连市妇幼保健院产科门诊辽宁大连 1260212.大连市妇幼保健院产五病房辽宁大连 1260213.大连市妇幼保健院产房辽宁大连 126021 
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中文摘要:
      目的分析凶险性前置胎盘(PPP)的相关因素。方法 选取2017 年4 月至2019 年3 月我院PPP 产妇121 例为研究对象,另根据1∶1 配对原则选取同期非前置胎盘正常产妇121 例作为参照,回顾性分析其临床资料,通过制定调查问卷收集患者一般情况(年龄、居住地、文化程度)、孕期情况(系统产检、孕早期是否工作)、孕产史(孕次、既往流产次数、既往剖宫产次数、早产史、胎盘前置史)、妊娠方式(剖宫产、阴道分娩),分析PPP 发病危险因素,并进行多因素Logistic 回归分析。结果 年龄≥35 岁、居住地农村、孕早期参加工作、孕次>2 次、既往流产次数>1 次、既往剖宫产次数>1 次产妇PPP 所占比例高于正常产妇(P<0.05);既往流产次数>1 次(OR=3.654,95%CI:1.954~6.932,P<0.05)、既往剖宫产次数>1 次(OR=3.709,95%CI:1.593~8.634,P<0.05)、年龄≥35 岁(OR=3.753,95%CI:1.386~10.164,P<0.001)是PPP 发生的独立危险因素。结论既往流产次数多、既往剖宫产次数多、年龄高是PPP 发生的独立危险因素。临床应加强健康宣教,避免流产次增加而损伤子宫内膜,对流产次、剖宫产次较多,年龄较大产妇进行有效管理,加强诊断与预防工作,降低PPP 发病率。
英文摘要:
      Objective To analyze the relevant factors of pernicious placenta previa(PPP).Methods A total of 121 cases of PPP maternal women in our hospital from April 2017 to March 2019 were selected as the research object,and 121 cases of normal cases with non-placental placenta at the same period were selected as a reference according to the 1∶1 matching principle.The clinical data were retrospectively analyzed.The patient's general condition (age,place of residence,education level),pregnancy status(systematic examination,whether working in the early pregnancy period),pregnancy and delivery history(pregnancy times,previous abortions,previous cesarean sections,premature birth history,placenta previa history) and delivery method (cesarean section,vaginal delivery) were collected through the development of a questionnaire.The PPP risk factors were analyzed,and multivariate Logistic regression analysis was performed.Results The proportion of PPP in maternal women with age≥35 years old,living in rural areas,working in the first trimester,pregnancy times>2 times,previous abortion frequency>1 time,previous caesarean section >1 time was higher than that in normal maternal women(P<0.05).Previous abortion times>1 time(OR=3.654,95%CI:1.954-6.932,P<0.05),previous caesarean section frequency>1 time(OR=3.709,95%CI:1.593-8.634,P<0.05),age≥35 years(OR=3.753,95%CI:1.386-10.164,P<0.001) were independent risk factors for the occurrence of PPP.Conclusion The high frequency of previous abortions,high frequency of previous cesarean sections and old age are independent risk factors for the occurrence of PPP.Health education should be strengthened in clinic to avoid the increase of abortions and damage to the endometrium.Effective management of abortion,cesarean section,and older women should be provided,diagnosis and prevention should be strengthened,to reduce the incidence of PPP.
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