摘要
目的 探讨降低早产发生率及早产儿病死率。方法 回顾性分析 2 2 0例早产的主要病因 ,比较不同孕周、体重及不同促胎肺成熟治疗时间对早产儿并发症、死亡率的影响。结果 胎膜早破、双胎是自然早产的主要病因 ,胎儿窘迫、妊高症、胎盘出血是引起干预性早产的主要病因 ,胎龄越小早产儿病死率越高 ,孕 3 5周前不同促胎肺成熟治疗时间与NRDS发生率有显著差异 (P <0 .0 1)。结论 不同病因的早产早发现、早治疗、延长孕周、适时宫内治疗 ,可提高早产儿的成活率。
Objective To investigate how to reduce morbi dity of premature de livery and mortality of premature infants. Methods The main causes of 220 pati ents with premature delivery were analyzed retrospectively, and the complication s and the mortality were observed in different body weight premature infants, in different gestational weeks and with treatment of different dosage of glucocort icoid. Results Premature rupture of membrane and twins were the main causes of nature premature delivery, fetal distress, pregnancy-induced hypertension syndr ome and placental hemorrhage were the main causes of secondary premature deliver y. The mortality of premature infant increased with the decrease of gestational age, and glucocorticoid could reduce the morbidity of respiratory distress syndr ome of newborn (NRDS) before 35 gestational weeks (P<0.05). Conclus ions Antena tal care and proper treatment earlier can increase the survival rate of prematur e infants.
出处
《实用全科医学》
2005年第1期16-17,共2页
Applied Journal Of General Practice