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目的探讨期待疗法治疗未足月胎膜早破的临床效果。方法将本院收治的采取期待疗法治疗的87例未足月胎膜早破产妇按照破膜时孕周的不同分为A组[(28~34)+6]周42例和B组[(35~36)+6]周45例,观察两组产妇的母婴结局和分娩方式。结果两组产妇在宫内感染及产褥感染发生率之间的差异无统计学意义(P>0.05),A组产妇的胎儿窘迫、新生儿窒息以及新生儿死亡率显著高于B组产妇,组间差异有统计学意义(P<0.05)。A组产妇剖宫产率为23.8%,阴道顺产率为76.2%,B组产妇剖宫产率为26.7%,阴道顺产率为73.8%,两组产妇在分娩方式方面的差异无统计学意义(P>0.05)。结论对于孕[(28~34)+6]周胎膜早破产妇应采取积极期待治疗,适当延长孕周,选择合适的终止妊娠时机,以改善母婴妊娠结局。
Objective To investigate the clinical effect of expectant therapy on preterm premature rupture of membranes. Methods 87 cases of preterm premature rupture of membranes treated with expectant therapy in our hospital were divided into group A (n = 42) and group B (n = 42) 35 ~ 36) +6] weeks, 45 cases were observed maternal and child outcomes and delivery mode of the two groups. Results There was no significant difference between the two groups in the incidence of intrauterine infection and puerperal infection (P> 0.05). The fetal distress, neonatal asphyxia and neonatal mortality in group A were significantly higher than those in group B, There was significant difference between groups (P <0.05). A group of maternal cesarean section rate was 23.8%, vaginal delivery was 76.2%, B group cesarean section rate was 26.7%, vaginal delivery was 73.8%, the two groups of maternal in terms of mode of delivery was not statistically significant ( P> 0.05). Conclusion For premature rupture of membranes of pregnant women with gestational age (28 ~ 34) +6], expectant mothers should take active expectant treatment and extend gestational age appropriately to select the appropriate timing of termination of pregnancy in order to improve maternal and fetal pregnancy outcomes.