50例早产的危险因素与临床治疗探讨

50 Cases of Premature Birth Risk Factors and Clinical Treatment

目的分析早产的危险因素以及临床治疗措施。方法选择50例早产分娩作为早产组,同时随机选取同期在我院正常孕周分娩的产妇50例作为对照组,比较2组的胎膜早破、胎盘因素、胎位异常、妊娠期肝内胆汁淤积症(ICP)等发生情况,并对<34孕周的胎膜早破所致早产是否进行保胎治疗进行分析。结果胎膜早破、胎盘因素、双胎、胎位异常、ICP的发生率早产组与对照组存在显著性差异(P<O.05);<34周PPROM保胎组低体重儿,新生儿硬肿症、新生儿呼吸窘迫综合征(NRDS)、新生儿窒息率较不保胎组明显下降(P<O.05)。结论胎膜早破、胎盘因素、双胎、胎位异常、ICP是早产发生的危险因素;对<34孕周的PPROM产前给予保胎治疗、延长孕龄可降低围生儿不良结局发生。

Objective To analyze the premature birth risk factors and clinical treatment.Methods 50 cases of premature birth as premature group,randomly select 50 cases of normal gestation in our hospital in the same period as control group,to com-pare the two groups of premature rupture of membranes,placental factors,abnormal fetal position,intrahepatic cholestasis of preg-nancy patients（ICP）,to analyze whether or not to carry out tocolysis to the premature rupture of membranes less than 34 gestational weeks.Results The premature rupture of membranes,placental factors,twins,abnormal fetal position,the premature incidence of ICP of the premature group has significant difference to compare the control group（P0.05）;the low birth weight infants,neonatal scleredema neonatal respiratory distress syndrome（NRDS） of the PPROM tocolysis group less than 34 weeks has significant difference to compare the no-tocolysis group（P0.05）.Conclusion The premature rupture of membranes,placental factors,twins,abnormal fetal position,ICP are risk factors for premature delivery;to carry out tocolysis treatment to the PPROM less than 34 gestational weeks can reduce the adverse perinatal outcome.