论文部分内容阅读
目的探析重度子痫前期患者发生胎盘早剥的相关危险因素,为胎盘早剥防治提供参考。方法选取本院妇产科确诊的重度子痫前期患者384例,其中68例发生胎盘早剥(早剥组)、316例未发生胎盘早剥(非早剥组),采用单因素、多因素Logistics回归分析法对两组患者的临床资料进行分析。结果早剥组和非早剥组的孕周、收缩压、舒张压、血小板计数、纤维蛋白原、尿素氮、血肌酐、既往分娩史、羊水过少指标差异具有统计学意义(P<0.05)。其中收缩压>160 mmHg(OR=1.467)、舒张压>105 mmHg(OR=1.492)、血小板计数<150×109/L(OR=2.033)、纤维蛋白原<5 g/L(OR=1.805)、血肌酐>80 mmol/L(OR=2.087)、既往具有分娩史(OR=1.964)、羊水过少(OR=1.885)是重度子痫前期患者发生胎盘早剥的相关危险因素。结论血压水平过高、血小板水平过低、纤维蛋白原水平过低等因素是重度子痫前期患者发生胎盘早剥的相关危险因素。
Objective To explore the risk factors of placental abruption in patients with severe preeclampsia and to provide reference for the prevention and treatment of placental abruption. Methods 384 patients with severe preeclampsia diagnosed as obstetrics and gynecology in our hospital were selected, including 68 cases of placental abruption (abruption group) and 316 cases of non-aborted placental abruption (non-abruption group). Single-factor and multi-factor Logistics regression analysis of the two groups of patients clinical data analysis. Results There were significant differences in gestational age, systolic blood pressure, diastolic blood pressure, platelet count, fibrinogen, urea nitrogen, serum creatinine, history of previous delivery and oligohydramnios in the group of ablation and non-abruption (P 0.05) . Systolic blood pressure was higher than 160 mmHg (OR = 1.467), diastolic pressure was 105 mmHg (OR = 1.492), platelet count was 150 × 109 / L (OR = 2.033), fibrinogen was lower than 5 g / , Serum creatinine> 80 mmol / L (OR = 2.087), history of delivery history (OR = 1.964) and oligohydramnios (OR = 1.885) were risk factors for placental abruption in severe preeclampsia. CONCLUSIONS: Factors such as high blood pressure, low platelet levels, and low fibrinogen levels are associated risk factors for placental abruption in severe preeclampsia.