未足月胎膜早破临床治疗的探讨

Study the Clinical Management of Preterm Premature Rupture of Membrane

目的：探讨未足月胎膜早破（PPROM）的临床处理方式及对妊娠结局的影响。方法：回顾分析本院2000年1月至2008年10月因未足月胎膜早破而早产的340例28-34^＋6孕周患者的临床处理方式及对母婴结局的影响。本结果采用X^2分析法。结果：未足月胎膜早破患者保胎治疗,容易导致宫内感染,但能降低新生儿死亡率（P〈0.05）。结论：对于pPROM的处理目前尚无统一的治疗方案。

Objective： To explore the treatment and outcomes of mother and neonate of pregnant patients with preterm premature rupture of membranes （ PPROM ） . Methods： The data of 340 preterm premature rupture of membranes with preterm birth from January 2000 to October 2008 were analyzed retrospectively,and were analyzed by X^2 method . Results： For the preterm premature rupture of membranes with 28 34 ^＋ 6 gestational weeks, the expectant management could increase the intrauterine infection risks （ P 〈 0. 05 ） , but could decrease the death rate of the neonate （ P 〈 0.05 ）. Conclusion： There were no uniform clinical management of preterm premature rupture of membrane.