摘要
目的比较不同孕周未足月胎膜早破患者期待治疗后的临床效果,探讨未足月胎膜早破适宜终止妊娠的时机。方法对入院时孕<31+6周(A组,40例)、孕32～33+6周(B组,46例)以及孕34～36+6周患者(C组,44例)实施期待疗法,比较期待治疗时间,母体感染率及围生儿结局的差异。采用WHCIEP16.0医学统计学软件进行数据分析。结果 B组延长孕周时间>A组、C组(P<0.05)。A组新生儿体质量低于B组、C组,A组的母体感染率、新生儿呼吸窘迫综合征(NRDS)发生率以及围生儿死亡率均高于B组、C组(P<0.05)。B、C两组相比差异无统计学意义(P>0.05)。结论孕32～33+6周未足月胎膜早破者实施期待治疗可以改善妊娠结局,故在母体与胎儿病情允许的情况下,尽可能实施期待治疗以延长妊娠时间。
Objective To compare the expectation treatment effectiveness on preterm premature rapture of the membrane of different gestational weeks, and explore the suitable time of termination of pregnancy. Methods Expectation treatment were given to the patients of pregnancy of 〈 （ 31 ＋ 6 ） weeks （ group A,40 ca- ses）, （32 - 33 ＋ 6 ） weeks （ group B, 46 eases） , （ 34 - 36 ＋6 ） weeks （ group C, 44 cases ）. The expectation treatment time, maternal infection and perineonate outcome were compared. WHCIEP16.0 was used for data analysis. Results After expectation treatment,group B prolonged the gestational weeks longer than group A and C （ P 〈 0.05 ）. Neonatus＇ weight of group A was below group B and C, maternal infection rate, NRDS rate and perineanate mortality of group A were less than group B and C （ P 〈 0.05 ）. Group B and C had no signif- icant difference （ P 〉 0.05 ）. Conclusion Implementation of expectation treatment among preterm premature rupture of the membrane of（32 - 33 ＋6 ） gestational weeks can improve the pregnancy outcome. Therefore, un- der the maternal and fetal condition＇s permission, expectation treatment should be implemented to prolong pregnancy time as long as possible.
出处
《医学综述》
2013年第2期353-354,共2页
Medical Recapitulate
关键词
未足月胎膜早破
期待治疗
可行性
Preterm premature rupture of the membrane
Expectation treatment
Feasibility
