摘要：
目的：探讨胎盘早剥的相关影响因素及其妊娠结局，为胎盘早剥的防治提供预防策略。方法计量单位采用单因素方差分析，计数单位采取单因素及多因素分析，对2007年12月～2013年12月广东省肇庆市端州区妇幼保健院收治的178例胎盘早剥进行回顾性分析。结果胎盘早剥发生率0.89%，单因素分析显示年龄、职业、文化程度、分娩史、流产史、吸烟、胎膜早破、妊娠期高血压疾病、产检依从性与胎盘早剥有关，二分类Logistic回归分析显示年龄、职业、文化程度、吸烟、胎膜早破、妊娠期高血压疾病、产检依从性是胎盘早剥的独立影响因素。胎盘早剥的首发现象存在多样性，分娩方式以剖宫产为主。结论高龄、无业或农民、文化程度低、吸烟、胎膜早破、妊娠期高血压疾病、产检依从性差胎盘早剥发生率高，胎盘早剥是威胁母儿安全的严重疾病，故此做好育龄妇女的健康教育工作，加强高危妊娠管理监测，督促孕妇定期产检，积极矫治妊娠高危因素，提高胎盘早剥警惕性，早发现、早诊断、早治疗，是改善母婴妊娠结局的关键。%Objective To explore the related influencing factors and pregnancy outcomes of placental abruption, for prevention and treatment of placental abruption prevention strategies. Methods Measuring unit using single factor analysis of variance, counting unit adopts the single factor and multiple factors analysis, from December 2007 to December 2013 178 cases of placental abruption of the hospital were retrospectively analyzed. Results 0.89%of the incidence of placental abruption, single factor analysis showed that age, occupation, cultural level, delivery history, history of abortion, smoking, premature rupture of membranes, gestational hypertension disease, and the adherence of associated with placental abruption, binary classification Logistic regression analysis showed that age, occupation, educational level, smoking, premature rupture of membranes, gestational hypertension disease, the compliance is the independence of placental abruption of influencing factors. Starting of placental abruption phenomenon exists diversity, delivery mode is given priority to with cesarean delivery. Conclusion Aged, unemployed, or farmers, low degree of culture, smoking, premature rupture of membranes, gestational hypertension disease, the poor adherence of high incidence of placental abruption, placental abruption is serious disease threat to mother's son, and to do a good job of health education among women of reproductive age, in order to strengthen the management of high-risk pregnancy monitoring, supervise and urge pregnant women regular prenatal, high-risk pregnancy positive correction factors, improve the vigilance of placental abruption, early discovery, early diagnosis, early treatment, is the key to improve maternal and infant pregnancy outcome.
