在怀孕的第三个三个月期间的表术与输血有关,这是一个回顾性病例控制研究
Aviad Sapir1,2, Lior Friedrich3, Yonathan Osovizky4,5
1Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center, 84101, Beer-Sheva, Israel. aviadsap@gmail.com.
Archives of gynecology and obstetrics
|February 11, 2026
概括
怀孕期间的鼻血,特别是在第三个三个月,显著增加需要输血的风险. 虽然往往是轻微的,但表可能表明潜在的血管问题需要更密切的监测.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 血管医学 血管医学
背景情况:
- 鼻出血是怀孕中常见的现象,通常归因于生理变化.
- 与怀孕相关的表观与孕产妇和新生儿结局的临床意义仍然不充分理解.
研究的目的:
- 调查怀孕期间的表和孕产妇和新生儿不良结果之间的关联.
- 为了确定表作为潜在的预测器,并发症,如输血和早产.
主要方法:
- 从2013年到2022年进行了一项回顾性病例控制研究.
- 与1924年匹配的对照组进行了比较,其中有104名患有表症的孕妇.
- 使用多变量后勤回归分析来确定不良结果的独立预测因素.
主要成果:
- 经历了表术的女性在第三季度出现更高的阴道出血,早产和输血率.
- 第三个三个月的表是需要输血的独立预测因素 (OR 4.96).
- 虽然单变量分析表明与早产有关,但在多变量分析中并不显著;大多数表病例是轻微的.
结论:
- 与怀孕相关的表,特别是在第三个三个月,独立地与需要输血的几率增加了近五倍.
- 在怀孕期间,表可以作为全身血管敏感性的临床标志物.
- 强化监测和跨学科的护理是建议的孕妇与表,以管理潜在的周产儿出血并发症.
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