潘炎君

[摘要]目的 探讨加强孕期规范管理对高龄孕妇妊娠结局的影响。方法 选择2014年2月～2016年8月在我院产检的高龄孕妇190例为观察组，实施孕期规范管理；选择同期在我院门诊就诊的190例高龄产妇为对照组，未接受孕期规范管理。比较两组孕期合并症、并发症和妊娠结局。结果 观察组妊娠期糖尿病、妊娠期高血压、妊娠期贫血、产后出血、胎膜早破、产褥期感染等发生率均低于对照组，差异有统计学意义（P<0.05）；两组前置胎盘发生率比较，差异无统计学意义（P>0.05）；观察组中低体重儿、早产、巨大儿、出生缺陷、新生儿窒息、胎儿畸形、围生儿死亡等发生率与对照组比较明显降低，差异有统计学意义（P<0.05）。结论 对高龄孕妇加强孕期规范管理，能有效降低母婴不良结局发生，值得临床推广。

[关键词]孕期规范管理；高龄孕妇；妊娠结局

[中图分类号] R714.2 [文献标识码] A [文章编号] 1674-4721（2017）07（a）-0112-03

Influence of strengthening gestational standardized management on pregnancy outcome in advanced maternal age

PAN Yan-jun

Department of Obstetrics and Gynecology，Dexing Maternal and Child Health Hospital，Jiangxi Province，Dexing 334200，China

[Abstract]Objective To investigate the influence of strengthening gestational standardized management on pregnancy outcome in advanced maternal age （AMA）.Methods 190 AMA patients received antenatal examination in our hospital from February 2014 to August 2016 were selected as observation group，and they were given gestational standardized management；and another 190 AMA outpatients without gestational standardized management in our hospital were selected as control group.The accompany diseases during pregnancy，complications and pregnancy outcomes of two groups were compared.Results The incidence of gestational diabetes mellitus，gestational hypertension，anemia during pregnancy，postpartum hemorrhage，premature rupture of membrane，puerperal infection of observation group was lower than that of the control group （P<0.05）；there was no statistical difference in the incidence of placenta previa between two groups （P>0.05）；the incidence of low birth weight infant，premature birth，macrosomia，birth defect，neonatal asphyxia，fetal malformation，perinatal mortality of observation group significantly decreased compared with control group （P<0.05）.Conclusion Strengthening gestational standardized management for AMA can effectively decrease adverse pregnancy outcomes，which is worthy of clinical promotion.

[Key words]Gestational standardized management；Advanced maternal age；Pregnancy outcome

高齡孕妇是指分娩年龄在35岁及以上的孕妇[1]。临床调查显示，与非高龄孕妇比较，高龄孕妇病理妊娠发生率明显提高，包括妊娠期高血压疾病、妊娠期糖尿病等，会明显增加孕妇和围生儿的风险[2]。研究显示，对高龄孕妇加强孕期规范管理能有效降低母婴妊娠结局[3]。本研究选择在我院实施产检的部分高龄产妇为研究对象，分析加强孕期规范管理对高龄孕妇妊娠结局的影响。具体报道如下。

1资料与方法

1.1一般资料

选择2014年2月～2016年8月在我院产检并实施孕期规范管理的高龄孕妇190例为观察组，年龄35～42岁，平均年龄（38.16±1.44）岁；初产妇70例，经产妇120例。选择同期在我院门诊就诊未实施孕期规范管理的190例高龄产妇为对照组，年龄36～41岁，平均年龄（38.22±1.43）岁；初产妇66例，经产妇124例。……