本文已被：浏览 245次 下载 13次
中文摘要: 目的：本研究旨在探讨高龄产妇（≥35岁）年龄分层对不良围产期结局及胎儿结局的影响，分析妊娠风险与年龄的关联性。通过对福建省14家医院14 569例分娩病例的分析，评估不同年龄段产妇的妊娠合并症、危重孕产妇发生率等问题，为高龄产妇的围产期管理提供依据。方法：本研究基于福建省妇幼健康监测信息管理系统，收集2023年1月1日至12月31日福建省14家医院产科14 569例分娩病例。采用回顾性分析方法，对比不同年龄组间妊娠合并症发生率及危重孕产妇发生率，使用统计学方法评估组间差异。结果：研究结果显示，随着年龄增长，妊娠合并症及危重孕产妇发生率显著增加。经产妇中，妊娠期糖尿病（＜35岁组21.70% vs. 35-39岁组28.89% vs. ≥40岁组36.18%）、产后出血（21.99% vs. 22.36% vs. 20.57%）和贫血（20.53% vs. 23.29% vs. 28.87%）为前三位高发合并症，组间差异具有统计学意义（P＜0.05）。≥40岁组危重孕产妇发生率为＜35岁组的3倍（1.73% vs. 0.58%）。结论：本研究表明，高龄经产妇群体容易发生不良围产期结局，尤其是妊娠期糖尿病、产后出血和贫血等妊娠并发症。≥40岁组的危重孕产妇发生率显著高于年轻产妇。为降低高龄产妇的不良围产期结局，建议实施孕前风险评估、加强妊娠期并发症的动态监测，并进行产后延续管理。同时，针对高龄产妇的累积性损伤和代偿能力下降，提供个性化、生育友好服务，优化母婴健康结局。
Abstract:Objective：This study aims to investigate the impact of advanced maternal age（≥35 years）on adverse perinatal outcomes and fetal outcomes，and to analyze the association between pregnancy risks and age. This study analyzes 14，569 delivery cases from 14 hospitals in Fujian Province to evaluate the pregnancy complications，critical maternal morbidity，and other issues across different age groups，providing a basis for perinatal management in high-risk maternal populations. Methods：Data were collected from the Fujian Province Maternal and Child Health Monitoring Information Management System between January 1，2023，and December 31，2023，covering 14，569 delivery cases from 14 obstetric hospitals in Fujian Province. A retrospective analysis was conducted to compare the incidence of pregnancy complications and critical maternal morbidity between different age groups. Statistical methods were used to evaluate intergroup differences. Results：The results showed that with increasing maternal age，the incidence of pregnancy complications and critical maternal morbidity significantly increased. Among multiparous women，the top three most common pregnancy complications were gestational diabetes mellitus（GDM）（<35 years：21.70% vs. 35-39 years：28.89% vs. ≥40 years：36.18%），postpartum hemorrhage（PPH）（21.99% vs. 22.36% vs. 20.57%），and anemia（20.53% vs. 23.29% vs. 28.87%），with statistically significant differences between the groups（P < 0.05）. The incidence of critical maternal morbidity in the ≥40 years group was three times higher than in the <35 years group（1.73% vs. 0.58%）. Conclusion：This study indicates that advanced maternal age is associated with an increased risk of adverse perinatal outcomes，especially gestational diabetes，postpartum hemorrhage，and anemia. The incidence of critical maternal morbidity in the ≥40 years group was significantly higher than that in younger women. To reduce adverse perinatal outcomes in older mothers，it is recommended to implement preconception risk assessments，strengthen dynamic monitoring of pregnancy complications，and provide postpartum follow-up care. Furthermore，to address the cumulative risks and declining compensatory ability of advanced maternal age，personalized，fertility-friendly services should be provided to optimize maternal and infant health outcomes.
keywords: Severe Maternal Morbidity Multiparous Women Advanced Maternal Age Pregnancy Complications Pregnancy Outcomes
文章编号： 中图分类号： 文献标志码：
基金项目:
引用文本：
张思思,林丽华.基于14 569例临床病例的经产妇年龄分层对围产期指导的影响[J].江苏卫生事业管理,2026,37(6):826-830.
ZHANG Sisi,LIN Lihua.The Impact of Parity-Based Maternal Age Stratification on Perinatal Guidance Based on 14，569 Clinical Cases[J].Jiangsu Health System Management,2026,37(6):826-830.
张思思,林丽华.基于14 569例临床病例的经产妇年龄分层对围产期指导的影响[J].江苏卫生事业管理,2026,37(6):826-830.
ZHANG Sisi,LIN Lihua.The Impact of Parity-Based Maternal Age Stratification on Perinatal Guidance Based on 14，569 Clinical Cases[J].Jiangsu Health System Management,2026,37(6):826-830.
