未足月胎膜早破73例临床分析

Analysis of preterm premature rupture of membranes in 73 cases

目的探讨未足月胎膜早破的妊娠结局。方法回顾性分析我院2009年8月至2012年11月住院的73例未足月胎膜早破患者临床资料,按发病孕周分为两组:A组37例,28周≤孕周≤33+6周;B组36例,34周≤孕周<37周,比较两组的分娩方式及围生儿结局。结果 A组的新生儿窒息发生率、呼吸窘迫综合症(RDS)的发生率、围生儿病死率均高于B组,差异有统计学意义(P<0.05),两组分娩方式比较,差异无统计学意义(P>0.05)。结论对于28～33+6周的胎膜早破患者,应在严密监护下采取期待治疗,可改善围生儿结局,并不增加剖宫产率。

Objective To investigate the outcomes of preterm premature rupture of membranes（PPROM） in pregnancy.Methods We retrospectively analyzed the clinical data of 73 cases of hospitalized patients with PPROM from August 2009 to November 2012 in our hospital.The data were divided into two groups according to the incidence of gestational age.Group A had 37 cases,28 weeks≤gestational age≤33＋6weeks.Group B had 36 cases,34 weeks≤gestational age＆lt;37 weeks.The mode of delivery and pregnancy outcomes were compared.Results The incidence of neonatal asphyxia,respiratory distress syndrome（RDS） and perinatal mortality in children of group A was statistically significantly higher than that of group B（P＆lt;0.05）.Comparing two sets of mode of delivery,the difference was not statistically significant（P＆gt;0.05）.Conclusion For the patients with premature rupture in 28~33＋6 weeks,expectant treatment should be treated under the intensive care,which can improve the outcome of perinatal children and does not increase the rate of cesarean section.