摘要
目的分析研究未足月胎膜早破(PPROM)的发生原因以及临床处理方法。方法回顾性分析2005年1月至2010年12月期间在本院住院治疗的250例未足月胎膜早破患者的临床资料。结果 PPROM相关因素的构成比中,生殖道感染最高24.4%,其次为胎位异常22%,流产、引产史18.8%;250例PPROM患者中阴道分娩112例,占44.8%;剖宫产138例,占55.2%;孕28～31+6周组的剖宫产率低于孕32～34+6周组和孕35～36+6周组(P<0.05);而孕32～34+6周组与孕35～36+6周组比较,无统计学意义(P>0.05)。结论对于小于34孕周的PPROM产前使用宫缩抑制剂、糖皮质激素促胎肺成熟及抗生素预防感染等干预,可延长孕龄,减少围产儿并发症,增加成活率。
Objective To analyze the incidence of preterm premature rupture of membranes causes and clinical treatment.Methods A retrospective analysis of January 2005-December 2010 in our hospital the 250 patients clinical data with premature rupture of membranes at term.Results PPROM than in the composition of the relevant factors,reproductive tract infections up to 24.4%,followed by 22% fetal abnormalities,miscarriage,abortion history of 18.8%;250 cases of vaginal delivery in patients with PPROM 112 cases,44.8%;cesarean section in 138 cases,accounting for 55.2%;pregnant 28 to 31＋6 weeks of the cesarean section rate of less than 32 to 34 pregnant and pregnant 6 weeks 35 to 36＋6 weeks（P0.05）;while pregnant 32 to 34＋6 weeks and 35 to 36＋6weeks pregnant group,no statistically significant（P0.05）.Conclusions For 34 weeks gestation PPROM prenatal tocolytic,glucocorticoids promote fetal lung maturity and antibiotics to prevent infections intervention to extend the gestational age,to reduce perinatal complications and increase survival rate.
出处
《医药论坛杂志》
2011年第24期68-69,共2页
Journal of Medical Forum
关键词
胎膜早破
早产
治疗
Premature rupture of membranes
Premature
Treatment
