早产合并胎膜早破的分娩方式选择及新生儿预后

The choice of delivery modes and neonatal prognosis in preterm premature rupture of membranes

目的探讨早产合并胎膜早破不同孕周、不同的分娩方式对新生儿预后的影响。方法回顾性分析2006年6月至2007年10月在我院产科收治的126例早产合并胎膜早破的临床资料。结果孕周28～34周组出现呼吸窘迫综合征(RDS)、新生儿感染、新生儿颅内出血明显高于孕周34～37周组,两组结果对比差异有显著性(P<0.01);但剖宫产、阴道助产、阴道分娩3种分娩分式分娩新生儿出现并发症组间比较差异无显著性(P>0.05)。结论早产合并胎膜早破的孕周越小,新生儿并发症的发病率越高;不同的分娩方式选择对新生儿的预后无影响。

Objective To investigate the effect of different gestational weeks and delivery modes on neonatal prognosis in preterm premature rupture of membranes. Methods The data of 126 parturients with preterm premature rupture of membranes treated in this department from June 2006 to October 2007 were retrospectively analyzed. Results Respiratory distress syndrome, neonatal infection and neonatal intracranial hemorrhage were higher in 28 - 34 weeks of gestation than those with 34 - 37 weeks of gestation, the difference was statistically significant （ P 〈 0.01 ）. The difference among cesarean section, vaginal assistant labor and vaginal delivery was not statistically significant （ P 〉 0.05 ）. Conclusion The shorter gestational weeks of premature rupture of membranes are, the higher incidence rate of neonatal complications will be. There is no influence on neonatal prognosis by different modes of delivery.