102例胎膜早破与新生儿合并症关系分析

Analysis on 102 Cases of the Relation between Premature Rupture of Fetal Membranes and Complications of the Newborn

目的分析孕28～37周产妇胎膜早破与新生儿合并症的关系。方法对基层102例胎膜早破产妇的临床资料进行回顾性分析。结果102例胎膜早破产妇从破膜到临产历时1～56.5h,平均18.01h。7.9%的胎膜早破有多发因素存在,61.8%的胎膜早破产妇原因不明。孕满28周而小于35周与孕满35周而小于37周间的胎膜早破产妇分娩方式差异无显著性(P﹥0.05)。孕满28周而小于35周胎膜早破出生的新生儿发病率和死亡率明显高于孕满35周而小于37周出生的新生儿(P﹤0.01)。结论对于孕满28周而小于35周胎膜早破的产妇宜采用有效的期待疗法,以减少新生儿合并症的发生。孕周小者,尽量延长孕周至满35周以上,可降低新生儿的死亡率。

Objective To analyze the relation between premature rupture of fetal membranes of puerperal whose pregnancies last 27 or 28 weeks and complications of the newborn. Methods 102 cases of puerperal who hod suffered from the premature rupture of fetal membranes were analyzed retrospectively. Results These 102 puerperal experienced the period which was from the rupture of membranes to parturient for 1 hour to 56 hours and a half. The average time was 18 hours and 2 minutes. Out of these 102 cases, 7.9% were caused by multiple factors, while 61.8% of them had unknown reasons. There was no obvious difference of these 102 peripheral＇s modes of delivery, whether their pregnancies last 28 to 35 weeks （not including the 35th week） or 35 to 37 weeks（P〈 0.05）. But the newboru＇s death rates of the formers were much higher than the later（P〈0.01）. Conclusion For the puerperal whose pregnancies last 28 to 35 weeks, it is effective to treat them with temporization to reduce complications of the newberu. It could reduce the newborns＇ death rate if the pregnancies are prolonged to more than 35 weeks.