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目的探讨高龄孕妇妊娠合并症、并发症及对新生儿的影响,高龄孕妇的心理障碍及干预措施,为临床咨询和处理提供依据。方法对2006~2008年广汉市医院分娩的35岁以上的高龄孕妇197例与同期分娩的非高龄孕妇3 109例进行临床对比分析。分别从两组妊娠合并症、并发症如妊娠高血压疾病、巨大儿、胎膜早破、早产、前置胎盘、胎盘早剥、妊娠期糖尿病、心理障碍等进行比较。结果高龄妊娠组的妊娠合并症、并发症、剖宫产率、心理障碍等明显高于非高龄妊娠组,差异有统计学意义(P<0.01)。结论①近几年高龄孕妇逐渐增多;②高龄妇女的妊娠合并症、并发症发生率均高于非高龄组。③高龄妇女剖宫产率明显高于非高龄组。④高龄妇女心理障碍明显高于非高龄妇女。
Objective To explore the complications of pregnancy, complications and newborns in elderly pregnant women, mental disorders and interventions in elderly pregnant women, and provide the basis for clinical consultation and treatment. Methods A total of 197 elderly pregnant women over 35 years of age and 3 109 pregnant women of non-advanced age who delivered at the same hospital in Guanghan City from 2006 to 2008 were compared. Comparing two groups of complications of pregnancy, complications such as pregnancy-induced hypertension, macrosomia, premature rupture of membranes, premature delivery, placenta previa, placental abruption, gestational diabetes, mental disorders and so on. Results Pregnancy complications, complications, cesarean section rate and mental disorders in the elderly pregnancy group were significantly higher than those in non-elderly pregnancy group (P <0.01). Conclusion ① In recent years, the number of elderly pregnant women gradually increased; ② The incidence of complications and complications in elderly women were higher than those in non-elderly group. ③ cesarean section rate in older women was significantly higher than non-senior group. ④ mental disorders of older women was significantly higher than non-elderly women.