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目的:研究妊娠晚期未足月胎膜早破患者的治疗及妊娠结局。方法:选取我院2012年3月到2015年4月收治的100例妊娠晚期未足月胎膜早破患者随机分为实验组和对照组各50例,对照组接受常规抗生素预防感染治疗,实验组接受抗生素联合期待疗法,比较两组患者的分娩方式和妊娠结局。结果:两组阴道分娩率剖宫产率对比差异不大,统计学不具有意义(P>0.05)。实验组患者的新生儿窒息发生率、新生儿肺炎、胎儿呼吸窘迫综合征、新生儿缺氧缺血性脑病、新生儿死亡率均明显优于对照组,统计学具有意义(P<0.05)。结论:妊娠晚期未足月胎膜早破患者的治疗过程中合理选择分娩方式和治疗方法能够改善妊娠结局。
OBJECTIVE: To study the treatment and pregnancy outcome of patients with premature rupture of membranes in the third trimester of pregnancy. Methods: A total of 100 premature rupture of membranes in our hospital from March 2012 to April 2015 were randomly divided into experimental group (50 cases) and control group (50 cases). The control group received routine antibiotic prophylaxis. The experiment Group received antibiotics combined with expectant therapy, delivery mode and pregnancy outcome of two groups were compared. Results: There was no significant difference in the rate of vaginal delivery between the two groups (P> 0.05). The incidence of neonatal asphyxia, neonatal pneumonia, fetal respiratory distress syndrome, neonatal hypoxic-ischemic encephalopathy and neonatal mortality in the experimental group were significantly better than those in the control group (P <0.05). Conclusion: The reasonable choice of mode of delivery and treatment during the treatment of premature rupture of membranes in patients with third trimester can improve pregnancy outcomes.