早产性胎膜早破72例临床分析

Clinica analysis of 72 cases of preterm premature rupture of membrane

目的:探讨早产性胎膜早破(PPROM)的危险因素、分娩方式及对新生儿的影响。方法:对我院2000年1月～2005年12月的75例PPROM进行回顾性分析。结果:75例PPROM主要与感染有关,孕28￣35周与孕35￣37周两组比较分娩方式差异无显著性(P>0.05),早产儿发病率和死亡率差异有显著性(P<0.01)。结论:对于孕28￣35周PPROM宜采取期待疗法,以减少新生儿合并症的发生。

Objective：To study the high rsk factors and labor styles of peeterm premature rupture of membrane （PPROM） and its influence on newborn.Methods：A retrospective analysis was made in 72 eases of PPROM in our hospital during January 2000 to December 2005.Results：The infection was the main cause of PPROM.There was significant difference in the incidence and fatality of premature infant between group of pregnanch for 28-35 weeks and group of pregnancy for 35-37 weeks （P〈0.01）,but without obvious difference in the labor styles between them （P〈0.05）.Conclusion：In order to reduce the neonatal complicatlons,we must take the expectation treatment to prolong the pregnant period in pregnancy for 28-35 weeks of PPROM.