早产99例临床分析

A retrospective survey of 99 cases of premature delivery

目的 探讨早产的临床相关因素 ,减少早产发生率。方法 对 1 996～ 2 0 0 1年 6年中早产 99例进行回顾性分析。结果 早产发生率 4 53 % ,前 3年与后 3年相比较 ,孕妇的孕产次、分娩孕周、出生的早产儿性别体重差异无显著意义 (P >0 0 5)。人工早产与自然早产比较 ,分娩方式、剖宫产指征、早产相关因素差异有非常显著意义 (P <0 0 1 )。结论 前置胎盘是人工早产的主要原因 ,胎膜早破是自然早产的主要原因 ;人工早产剖宫产率高 。

Objective To investigate the related reasons of premature delivery in order to reduce the rate of premature delivery.Methods A retrospective survey of 99 cases premature delivery in our hospital for six years from Jau. 1996 to Dec. 2001.Results The incidence of premature dilivery was 4.53%.No difference was found in birth weight and birth sex on neonate the gestational age and times occurred in the period between 1996～1998 and 1999～2001(P>0.05).The reasons of cesarean delivery and related factors between groups of spontaneous preterm birth and indicated preterm birth were statistically significant(P<0.01).Conclusion Vaginal delivery and cesarean section between groups of spontaneous preterm birth and indicated preterm birth are different.The most important reason of indicated preterm birth was premature rupture of membranes.The most important reason of spontaneous preterm birth was placenta previa.