早产胎膜早破65例妊娠结局分析

Analysis of Pregnancy Outcomes of 65 Cases with Pretern Premature Rupture of Membranes

目的 探讨早产胎膜早破 (pretermprematureruptureofmembranes ,PPROM)的妊娠结局。方法 对 6 5例PPROM进行回顾性分析。结果 6 5例PPROM中以流产引产史、感染及胎位不正多见。孕 2 8～ 34+ 6w 与孕35～ 36 + 6wPPROM比较 ,前者剖官产率明显低于后者 (P <0 .0 1) ,而新生儿发病率明显高于后者 (P <0 .0 1)。结论 对孕 2 8～ 34+ 6w 的PPROM宜采用期待疗法 ,以减少新生儿的并发症 。

Objective To study pregnancy outcomes on pretern premature rupture of membranes (PPROM). Methods Retrospective study of 65 cases with PPROM was conducted. Results In 65 cases with PPROM, abortion, infection, and abnormal fetal position were the common causes. Compared with the patients at 35～36 +6 week gestation, caesarean birth rate of the patients at 28～34 +6 weeks gestation was obviously lower (P<0.01) and their neonatal morbidity and mortality were higher. Conclusions Expectant management was advised for the patients at 28～34 +6 weeks gestation in order to decrease neonatal complications and neonatal morbidity and mortality.