摘要
目的分析未足月胎膜早破(PPROM)的妊娠结局,探讨其母儿预后。方法回顾性分析2010年12月～2012年12月在本院诊治的PPROM患者115例,按照孕周分为3组(28～31+6周25例,32～33+6周47例,>34周43例),分析3组的妊娠结局。结果 3组阴道分娩、剖宫产率组间比较差异无统计学意义(P>0.05);28～31+6周的新生儿窒息、新生儿呼吸窘迫综合征、新生儿肺炎、颅内出血、新生儿缺血缺氧性脑病和围生儿死亡与>34周相比,差异有统计学意义(P<0.05);围生儿死亡与32～33+6周相比,差异有统计学意义(P<0.05);32～33+6周的新生儿窒息与>34周相比,差异有统计学意义(P<0.05)。结论积极处理,抗感染、促胎肺成熟、延长孕周,以降低PPROM母婴并发症发生率及新生儿死亡率。
Objective To analyze preterm premature rupture of membranes rupture of membranes and discuss the prognosis of the mother and neonates. Methods 115 cases of premature rupture of membranes in our hospital from December 2010 to December 2012 were retrospectively analyzed.And according to the gestational week,they were divided into three groups （28～31 ＋6 week for 25 cases,32～33 ＋6 week for 47 cases,＆gt;34 week for 43 cases）,the pregnancy outcome of three groups for analyzed. Results There were no significant differences of vaginal delivery rate and cesarean section rate between groups （P＆gt;0.05）;And there were significant differences of neonatal asphyxia,neonatal respiratory distress syndrome,neonatal pneumonia,intracranial hemorrhage,neonatal hypoxic ischemia encephalopathy,and perinatal death between the neonates of 28 to 31 ＋6 weeks and ＆gt; 34 weeks （P＆lt;0.05）.The perinatal death compared with 32 to 33 ＋6 weeks,the difference was statistically significant （P＆lt;0.05）; The neonatal asphyxia of 32 to 33 ＋6 weeks was sig- nificantly different from ＆gt; 34 weeks （P＆lt;0.05）. Conclusion Active treatment,anti-infection,promoting the maturity of fetal lung and extending gestational week can reduce the complications of preterm premature rupture of membranes and the neonatal mortality.
出处
《中国当代医药》
2013年第21期41-42,共2页
China Modern Medicine
关键词
未足月胎膜早破
妊娠结局
分娩方式
预后
Preterm premature rupture of membranes
Pregnancy outcome
Delivery mode
Prognosis
