不同孕周未足月胎膜早破保胎时间对母婴结局的影响

Effects of tTreatments on Pregnancy Outcome from Different Gestational Weeks of Preterm Premature Rupture of Membranes

目的探讨不同孕周未足月胎膜早破保胎时间对母婴结局的影响。方法方便选择120例于2017年1—12月间在该院接受诊治的未足月胎膜早破孕产妇为研究对象,将孕周小于34周和孕周≥34周的入组者各分一个小组,比较两组母婴结局,另对保胎时间<48 h和保胎时间≥48 h的母婴结局进行对比。结果孕周<34周的孕产妇和新生儿并发症发生率,高于孕周≥34周的孕产妇和新生儿并发症发生率,差异有统计学意义(χ~2=6.708,P<0.05);不同孕周未足月胎膜早破保胎时间<48 h的母婴结局比较上差异无统计学意义(χ~2=1.294,P>0.05),保胎时间≥48 h且孕周<34周的孕产妇和新生儿并发症发生率明显高于相同保胎时间且孕周≥34周的未足月胎膜早破者,差异存在统计学意义(χ~2=5.175,P<0.05)。结论对未足月胎膜早破孕产妇而言,保胎时间越短,并发症发生风险越低,安全性越高;保胎时间一致时,孕周越短,并发症发生几率越高。

Objective To explore the influence of different gestational weeks(GW)on pregnancy outcome ofpreterm premature rupture of membranes(PPROM).Methods 120 pregnant women with the PPR0 M who were treated in our hospital from January to December 2017 were convenient selected as the subjects.Patients with the GW<34 weeks and≥34 weeks were divided into two groups,respectively,and the outcome of these two groups was compared,as well asthe outcome from the fetal protection(FP)hours<48 hours and≥48 hours.Results The complication probability(CP)of pregnant women with the GW<34 weeks was,significantly higher than that of pregnant women with the GW≥34 weeks(P<0.05,χ^2=6.708).There was no significant difference in patients of the PPR0 M with the FP<48 h(χ^2=1.294,P>0.05).The CP of pregnant women with the FP≥48 h and GW<34 weeks was significantly higher than that of patients with the same FP when theGW≥34 weeks(χ^2=5.175,P<0.05).Conclusion For pregnant women with the PPR0 M,the shorter FPcontributes to the lower risk of CP and higher safety,whilethe shorter GW leads to the higher risk of CP.