摘要
目的探讨早产胎膜早破的妊娠结局。方法对109例早产胎膜早破进行回顾性分析。比较不同孕周及分娩方式的选择对围生儿结局的影响。结果 58.72%早产胎膜早破有易发因素存在。孕28~34周与孕34~37周间,早产胎膜早破分娩方式的比较,差异无显著性意义（P〉0.05）。孕28~34周早产胎膜早破新生儿窒息率和死亡比明显高于孕34~37周者,差异有显著性（P〈0.01）。结论对于孕28~34周早产胎膜早破,宜采取期待疗法,以减少新生儿合并症的发生。预防性应用抗生素,选择合适分娩时机及分娩方式,能获得良好妊娠结局。
Objetcive To study pregnancy outcomes on preterm premature rupture of membranes （PPROM）. Methods The cause of premature rupture of membranes in 109 cases were analzed retrospectively , the pregnant weeks and delivery mode were compared. Results 58.72% PPROM had predisposing factors. Compared in patients at 28~34weeks＇ gestation with 34~37weeks＇ gestation on PPROM ,modes of delivery was no ststistically differences（P0.05）. Neonatal morbidity and mortality were higher in 28~34 weeks＇ gestation than 34~37weeks＇ gestation, the difference was satistically significant （P0.01）. Conclusion In patients with a gestational age of 28~34weeks＇, a waiting management scheme was advised to decrease neonatal morbidity.Using antibiotics and choosing proper delivery mode are help for mother and fitus.
出处
《中国医药指南》
2010年第13期183-184,共2页
Guide of China Medicine
关键词
胎膜早破
早产
妊娠结局
Premature rupture of membranes
Premature labor
Pregnancy outcome
