早产200例的临床治疗

Clinical treatment of 200 cases of premature delivery

目的了解早产的原因及其对母儿的影响,探讨临床治疗的方法措施。方法选取2007年1月至2009年9月,我院分娩总数3315例,其中早产200例(早产组)。另随机选取同期我院住院分娩无产科并发症与合并症,年龄相仿,足月分娩的孕产妇200例作为对照组。结果本组早产孕产妇200例,分娩早产儿210例,包括10例双胎,早产儿死亡31例,早产儿病死率9.698%。同期对照组200例早产孕产妇,分娩产儿204例,围生儿死亡6例,足月围生儿病死率2.94%,经χ2检验P<0.001,差异有非常显著性。200例早产中阴道自然分娩181例,占90.5%,剖宫产19例,占9.5%,分娩新生儿210例,发生新生儿窒息72例,新生儿窒息率19%。新生儿死亡31例,孕周越小,出生体重越低,新生儿窒息率及新生儿病死率越高。结论引起早产的主要原因尚不清楚,胎膜早破及双胎较常见,防治早产是减少新生儿不良结局的重要手段。

Objective To understand the causes of preterm delivery and the impact on mother and child to explore the clinical treatment of options.Methods from January 2007 to September 2009,the total number of 3315 deliveries in our hospital patients,including 200 cases of premature delivery （preterm group）.Another randomly selected year our hospital was no obstetric complications and delivery complications,similar age,full-term delivery of 200 cases of pregnant women as control group.Results 200 cases of premature maternal,child 210 cases of premature birth,including 10 cases of twins,31 cases of premature child deaths,child mortality rate 9.698% premature.Concurrent control group of 200 premature maternal,delivery births 204 cases,6 cases of perinatal death of children,full-term children with perinatal mortality 2.94%,by c2 test P0.001,the difference was statistically significant.200 cases of premature delivery in 181 cases of vaginal delivery,90.5%,cesarean section in 19 cases,accounting for 9.5%,210 cases of neonatal birth occurred 72 cases of neonatal asphyxia,neonatal asphyxia 19%.Neonatal deaths in 31 cases,the smaller the gestational age,lower birth weight,neonatal asphyxia and neonatal mortality was higher.Conclusion The main reason for premature birth is not known,more common in premature rupture of membranes and the twins;prevention is to reduce premature newborn important means of adverse outcomes.