早产胎膜早破期待疗法临床观察

Clinical observation of temporization on premature rupture of membranes in preterm labor gravida

目的评估早产胎膜早破（PPROM）期待疗法的效果。方法对36例孕28～37周胎膜早破孕妇的治疗和母婴预后进行回顾性分析。结果孕34周以下破膜后超过24h分娩的新生儿呼吸窘迫综合征（RDS）发生率下降，死亡率下降，孕34周后围生儿死亡率也明显下降。结论对于孕28～34周PPROM宜采用期待疗法以减少新生儿合并症的发生，对于孕周小者尽量延长孕周适时分娩，以降低新生儿死亡率。

Objective It is to evaluate the effect of temporization on preterm premature rupture of membranes （ PPROM）. Methods 36 cases of PPROM at 28 - 37 week＇ s gestation were retrospective analyzed. Results The incidence rate of newborn respiratory distress syndrome （RDS） of gravida less than 34 week＇ s gestation after rupture exceed 24 h lowered and the mortality lowered too. The newborn mortality of gravida more than 34 week＇ s gestation obviously lowered. Conclusion Temporization is used fit on PPROM gravida with gestational age of 28 - 34 weeks in order to decrease the happen of neonatal complication. Gravida should be prolonged gestational weeks and give birth to a child at the right moment in order to lower newborn mortality.