Objective To analyze the correlation between disease of cognitive immunity and adverse pregn-ancy outcomes in pregnant/maternal women with immune thrombocytopenic purpura (ITP).Method 85 cases of pregnant/maternal women diagnosed with ITP selected in Xijing Hospital from August 2014 to August 2016 were divided into group A (low cognitive level, 21 cases), group B (intermediate cognitive level, 35 cases) and group C (high cognitive level, 29 cases) according to the degree of cognition level. Statistics and comparison of gestational weeks, bleeding rate, postpartum hemorrhage, premature delivery rate, the rate of vaginal delivery and cesarean section of pregnant/maternal in three groups, the birth weight, cord blood platelet count decrease, asphyxia, distress, and the occurrence of bleeding of neonatal in three groups. Evaluated the relationship between cognitive level and adverse pregnancy outcome by comparing and analyzed the data of each group.Result Gestational age, bleeding rate, preterm birth rate, spontaneous labor rate, postpartum hemorrhage were significantly different among the three groups (P<0.05), but the cesarean section rates were no significant differences among the three groups (P>0.05). The birth weight among the three groups had no significant differences (P>0.05), the neonatal umbilical cord blood platelet count, reduce the incidence of neonatal asphyxia and neonatal hemorrhage rate between groups were statistically significant differences (P<0.05).Conclusion Pregnant/maternal women with PLT could improve the outcomes of adverse pregnancy by improving the cognitive level of PLT. In order to improve the outcome of pregnancy, we need to reduce the negative emotions of pregnant/maternal women and improve the compliance of clinical treatment early cognitive intervention should be carried out.%目的 分析免疫性血小板减少性紫癜(immune thrombocytopenic purpura,ITP)孕/产妇对疾病认知水平与不良妊娠结局的相关性.方法 选取本院2014年8月至2016年8月确诊的85例妊娠合并ITP孕/产妇为研究对象,根据孕/产妇对ITP的认知程度将其分为A组(认知低水平,21例)、B组(认知中水平,35例)及C组(认知高水平,29例).统计并比较三组孕/产妇孕周、出血发生率、产后失血量、早产率、顺产率、剖宫产率以及三组新生儿体重和脐血血小板计数减少、窒息、窘迫、出血的发生率,分析孕/产妇认知水平与不良妊娠结局的关系.结果 三组孕/产妇孕周、出血发生率、早产率、顺产率、产后失血量比较均有显著差异(P<0.05),但剖宫产率三组比较均无显著差异(P>0.05).三组新生儿体重比较均无显著差异(P>0.05),新生儿脐血血小板计数减少、窒息及出血发生率组间比较均具有显著差异(P<0.05).结论 提高孕/产妇认知水平能够改善不良妊娠结局,临床需进行早期认知干预,以缓解孕/产妇紧张消极情绪,提高治疗依从性,选择合理的分娩方式,改善妊娠结局.
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