早产合并胎膜早破126例临床分析

Clinical Analysis of 126 Cases with Premature Labor Complicated with Premature Rupture of Membrane

目的 :探讨早产合并胎膜早破对围生儿的影响及处理方法。方法 :回顾分析我院 2 0 0 1年 1月至 2 0 0 2年 12月收治的早产合并胎膜早破 12 6例临床资料。结果 :早产合并胎膜早破发生率为 3.1% ;胎龄小死亡率明显增高 ,特别是胎龄小于 31周者 ;应用促胎肺成熟药物可降低早产儿并发症及死亡率。结论 :胎膜早破是早产的主要原因。若临床无感染征象 ,应尽量保胎至孕 34周 。

Objective: To investigate the effect on neonatal outcome of premature labor complicated with premature rupture of membrane and the corrective treatment. Methods: 126 cases with premature labor complicated with premature rupture of membrane were reorospectively analysed. Results: The morbidity of premature labor complicated with premature rupture of membrane is 3.1%,mortality of prematurity increased with the decrease of the gestational age especially less than 31 weeks, and the complications and the mortality of the premature infants were reduced if glucocorticoids could be used. Conclusion: Premature rupture of membrare is the main reason of premature labor.The gestational age should be postponed to 34 weeks if no clinical infection occured.