958例高龄初产妇妊娠结局分析.pdfVIP

· 306· 中国妇幼保健2oo8年第23卷 · 妇女保健 · 958例高龄初产妇妊娠结局分析 朱丽荣 陆 叶 李 华① 北京大学第一医院妇产科 (北京) 100034 中国图书分类号 砌73 文献标识码 A 文章编号 1001-4411(2008)03．306-03 【摘 要】 目的：了解高龄初产妇的妊娠结局。方法：对958例35岁以上高龄初产妇的相关资料进行回顾性分析，并与 同期分娩的非高龄初产妇1 050例进行对照研究。结果：高龄初产妇前置胎盘、妊娠高血压疾病、慢性高血压合并妊娠、妊娠期 糖尿病、IGT、贫血、子宫肌瘤合并妊娠、剖宫产率显著高于非高龄组，产钳术占阴道分娩的比例显著高于非高龄组，顺产率显 著低于非高龄组，而胎儿窘迫的发生率非高龄组显著高于高龄组。高龄组分娩孕周显著小于非高龄组，两组的早产率、新生儿 窒息、转儿科率均无显著性差异；高龄组的新生儿畸形率比非高龄组有增高趋势，但无统计学差异；高龄组围产儿死亡和晚期 流产率显著高于非高龄组，新生儿体重显著低于非高龄组。结论：高龄孕妇的妊娠合并症和并发症明显增多，晚期流产率高， 剖宫产率高，阴道分娩者中助产率高，围产儿结局稍差，应加强围产保健以减少合并症和并发症的发生率。 【关键词】 高龄妊娠 妊娠结局 年龄因素 Analysis of the pregnancy outcome in 958 primipara aged 35 years or older ZHU Li—Rong， ，LI Hua．Department of ObstetricsGynecology，Peking University First Hospital，Beijing l00034．China (Abstract] Objective：To study the pregnancy outcome in primipara aged 35 years or older．Methods：The relevant informations of 958 cases of primipara aged 35 or older were analyzed retrospectively，1 050 eases of primipara delivered at the same period aged less than 35 years were studied as contro1．Results：The rate of placental previa，pregnancy induced hypertension disease，chronic hypertension with pregnancy，gestational diabetes，impaired glucose tolerance test，anemia，uterine fibroids with pregnancy，cesarean section and forceps of v~nal delivery in the group aged 35 or older were significantly higher than that in the group aged less than 35 years，the rate of spontaneous delivery was opposite．But the rate of fetal distress Was higher in women less than 35 years old．The delivery weeks in the older women Was smaller and the rate of premature delivery ，neonatal asphyxia and hospitalized in paediatrie ward had no significant difference in two groups．The rate of neonatal abnormality in the group aged 35 or older Was higher than that in the gro