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目的 探讨早产主要因素及对早产儿的影响。方法 回顾性分析 2 85例早产的主要高危因素 ,将其分为阴式分娩组和剖宫产组 ,对不同原因所致早产儿的预后作分析比较。结果 胎膜早破、多胎妊娠及妊高征是引起早产的主要因素 ;胎龄小死亡率明显增高 ,特别是胎龄 <3 2周者 ;剖宫产组和阴式分娩组中早产儿的存活率及发病率 (尤其是颅内出血 )有显著性差异 (P <0 0 5 )。结论 早产是新生儿发病和死亡的主要原因 ,窒息及颅内出血是早产儿死亡的主要原因 ,早产不是剖宫产的禁忌证。
Objective To explore the main factors of preterm birth and its impact on premature children. Methods Retrospective analysis of 2 85 cases of the main risk factors for preterm birth, divided into vaginal delivery group and cesarean section group, the prognosis of premature children caused by different causes for analysis and comparison. Results Premature rupture of membranes, multiple pregnancies and pregnancy induced hypertension were the main causes of preterm birth. The rate of small gestational age was significantly higher, especially in those with gestational age <32 weeks. The rate of premature birth in cesarean section and vaginal delivery group The survival rate and morbidity (especially intracranial hemorrhage) were significantly different (P <0 05). Conclusions Premature delivery is the main cause of neonatal morbidity and mortality. Asphyxia and intracranial hemorrhage are the main causes of premature death. Premature delivery is not a contraindication to cesarean section.