168例未足胎膜早破临床分析

Clinical analysis of 168 cases with preterm premature rupture of membranes( PPROM)

目的:探讨未足月胎膜早破的临床处理及妊娠结局。方法:对未足胎膜早破168例患者的临床资料进行回顾性分析。结果:不同孕周的分娩方式比较,差异无统计学意义(P>0.05)。观察组新生儿窒息、呼吸窘迫综合征、感染、颅内出血等并发症的发生率及病死率明显高于对照组,即新生儿各种并发症的发生率及病死率随孕周的延长而降低,观察组产妇宫腔感染和产褥热的发生率明显高于对照组,差异具有统计学意义(P<0.05)。两者比较,差异有统计学意义(P<0.05)。结论:对不同孕周未足月胎膜早破采取治疗措施,可有效改善妊娠结局。

Objective To investigate the clinical analysis of clinical treatment and pregnancy outcomes of preterm premature rupture of membranes （PPROM）. Method 168 cases with PPROM were analyzed retrospectively. Results The mode of delivery of different gestational age was compared,the difference was not statistically significant （P 〉 0. 05 ）. The asphyxia, respiratory distress syndrome,infeetion, intracranial bleeding complications and mortality of the observation group was significantly higher than the control group ,and the incidence of neonatal complications and mortality decreased with prolonged gestation. The maternal intrauterine infeetion and the incidence of puerperal fever of the observation group was significantly higher than the control group, the difference was statistically significant （ P 〈 0.05 ）. In comparison,the difference was statistically significant （ P 〈 0. 05）. Conclusion The treatment measures for different gestational age pretenn premature rupture of membranes, which can effectively improve pregnancy outcomes.