论文部分内容阅读
目的对于未足月胎膜早破相关因素进行分析,探讨其妊娠结局。方法选取我院2006年1月至2010年12月的未足月胎膜早破307例,根据孕妇意愿分为保胎组与非保胎组,再按不同孕周分为A组为28～31+6W、B组为32～33+6W、C组为34～36+6W,对其进行回顾性研究。结果新生儿窒息率及死亡率:保胎组明显低于非保胎组(P<0.05),孕妇宫内感染发生率、产褥感染发生率:A组分别与C组间比较差异有统计学意义(P<0.05);3组孕产妇在分娩方式上差异无统计学意义(P>0.05);3组新生儿窒息卒、死亡率A组与B、C两组比较,差异有统计学意义(P<0.05)。结论围生儿的预后与胎膜早破的孕周密切相关,针对不同孕周的PPROM患者应采取相应的临床治疗策略,以减少母儿并发症。
Objective To analyze the related factors of preterm premature rupture of membranes and discuss the pregnancy outcome. Methods A total of 307 cases of preterm premature rupture of membranes from January 2006 to December 2010 in our hospital were divided into two groups according to the wishes of pregnant women: group A and group B, 31 + 6W in group B, 32-33 + 6W in group B and 34-36 + 6W in group C, retrospectively studied. Results Neonatal asphyxia rate and mortality rate were significantly lower in non-miscarriage group than those in non-miscarriage group (P <0.05). The incidence of intrauterine infection in pregnant women and the incidence of puerperal infection were significantly different between group A and group C (P <0.05). There was no significant difference in the mode of delivery between the three groups of pregnant women (P0.05). The death rate of neonatal asphyxia in group A was significantly higher than that in group B and C (P <0.05). Conclusion The prognosis of perinatal children is closely related to the gestational age of premature rupture of membranes. Corresponding clinical strategies should be taken for PPROM patients with different gestational weeks to reduce the complications of maternal and child.