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目的:研究探讨未足月胎膜早破孕妇的临床结局。方法:选取我院收治的65例未足月胎膜早破孕妇作为研究对象,对其临床资料、临床特征以及相关疾病的发生率等进行探究,以找到科学合理的临床处理方案,获得令人满意的临床结果。结果:对65例未足月胎膜早破孕妇进行诊断,可见诱发因素包括阴道炎、宫颈机能障碍、性交及创伤、生殖器畸形、妊娠期高血压等,其中以阴道炎最多,占到36.9%。对不同孕周的胎膜早破对孕妇及新生儿的影响进行比较可见,孕周在28周到33周之间的孕妇和孕周在34周到36周之间的孕妇在分娩方式及产后出血、感染等的发生率上无显著差别,且P>0.05。但对新生儿的影响不同,孕周34周以下分娩的新生儿出现呼吸窘迫综合征和窒息、死亡的概率显著大于孕周34周以上的新生儿,P<0.05,具有比较意义。结论:未足月胎膜早破的孕妇的孕周不同,临床表现也不同,要根据患者的实际情况给予区别对待,选择最适合的处理方法,获得最满意的妊娠结局。
Objective: To investigate the clinical outcomes of pregnant women with preterm premature rupture of membranes. Methods: Totally 65 pregnant women with premature rupture of membranes who were treated in our hospital were selected as research subjects, and their clinical data, clinical characteristics and the incidence of related diseases were explored to find a scientific and rational clinical treatment program, Satisfactory clinical outcome. Results: 65 cases of premature rupture of membranes were diagnosed pregnant women, showing that predisposing factors include vaginitis, cervical dysfunction, intercourse and trauma, genital malformations, gestational hypertension, vaginal inflammation, accounting for 36.9% . For different gestational age premature rupture of membranes on pregnant women and newborns compared to see the gestational age between 28 weeks to 33 weeks pregnant women and gestational age between 34 weeks to 36 weeks pregnant women in the mode of delivery and postpartum hemorrhage, No significant difference in the incidence of infection, and P> 0.05. However, the impact on newborns is different. Neonatal childbirth less than 34 weeks gestational age appears respiratory distress syndrome and asphyxia, and the probability of death is significantly higher than that of newborns over 34 weeks gestation, P <0.05. Conclusion: Pregnant women with premature rupture of membranes have different gestational age and different clinical manifestations. According to the actual situation of the patients, they should be treated differently and choose the most appropriate treatment to get the most satisfactory pregnancy outcome.