121例干预性早产的临床分析

Clinical analysis of 121 cases of controlled preterm labor

目的 了解干预性早产的发生因素及对妊娠结局的影响。方法 对我院 12 1例干预性早产病例的临床资料进行回顾性分析。结果 妊娠期肝内胆汁瘀积症 (ICP)所致的胎儿窘迫是干预性早产的首位因素 ,其次是胎膜早破(PROM)、重度妊高征。干预性早产的剖宫产率为 85 12 % ,定期行产前检查的病例中 ,新生儿死亡率明显降低 ,有计划地应用促胎肺成熟药物并加强产后新生儿护理 ,可降低早产儿并发症的发生和病死率。结论 定期产前检查 ,选择适时干预能改善早产结局 ,提高围产儿存活率 ,降低孕妇病死率。

Objective To understand the causes of controlled preterm labor,and study its pregnant prognosis.Methods The clinical data of 121 cases of controlled preterm labor were analyzed retrospectively.Results The first-place reason of controlled preterm labor was intrahepatic cholestas is of pregnancy(ICP),Secondary reasons were premature rupture of the membranes (PROM)and severe pregnancy induced hypertension(PIH).The cesarean section rate of controlled preterm labor was 85.12%.The neonatal mortality was lowered in the cases with regular antenatal care.The complications and the mortality of the premature infants were reduced if glucocorticoids could be used and intensive care would be taken after delivery.Conclusion Regular antenatal care and appropriately controlled preterm labor can better pregnant prognisis,improve the newborn's survival rate,and reduce the mortality of pregnant women.