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目的 探讨早产胎膜早破(preterm premature rupture of membranes,PPROM)的妊娠结局。方法 对114例PPROM进行回顾性分析。结果 114 例PPROM孕28~35 周与孕35~37 周间,PPROM分娩方式的比较,差异无显著性意义(P>0 .05)。孕28~35周PPROM新生儿发病率和死亡比明显高于孕35~37 周者(P<0. 01)。结论 对于孕28~35周PPROM宜采取期待疗法,以减少新生儿合并症的发生。对于孕周小者,尽量延长孕周至35周以上,以降低新生儿死亡比。
Objective To investigate the pregnancy outcome of preterm premature rupture of membranes (PPROM). Methods 114 cases of PPROM were retrospectively analyzed. Results There was no significant difference in PPROM delivery between 114 cases with PPROM between 28 and 35 weeks and between 35 and 37 weeks (P> 0.05). The incidence and mortality of neonates with PPROM at 28-35 weeks of pregnancy were significantly higher than those at 35-37 weeks of gestation (P <0.01). Conclusions For expectant treatment of PPROM at 28-35 weeks of pregnancy, expectant treatment should be taken to reduce the incidence of neonatal complications. For small gestational weeks, try to extend the gestational age to 35 weeks or more, in order to reduce the neonatal mortality ratio.