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目的探讨早产的原因及对母婴的影响及防治。方法对238例早产病例资料进行回顾性分析。结果胎膜早破、不明原因早产、多胎妊娠、妊娠期高血压疾病是早产的主要原因,不同孕周早产对母亲影响无显著性差异,对新生儿低体重发生率、Apgar评分及新生儿死亡有显著性差异。结论胎膜早破是早产的主要原因,胎龄越小,新生儿体重越轻死亡率越高,防治早产是降低围产儿死亡率并改善预后的关键。
Objective To explore the causes of prematurity and its effects on maternal and infant and prevention and treatment. Methods The data of 238 cases of preterm birth were retrospectively analyzed. Results premature rupture of membranes, unexplained premature birth, multiple pregnancy and gestational hypertension were the main causes of preterm birth. There was no significant difference in mothers’ preterm birth among different gestational weeks. The prevalence of low birth weight, Apgar score and neonatal death There are significant differences. Conclusion Premature rupture of membranes is the main cause of preterm birth. The smaller the gestational age, the heavier the newborn is, the higher the mortality rate is. The key to preventing and treating premature delivery is to reduce perinatal mortality and improve prognosis.