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目的探讨对未足月胎膜早破实行早期监测并及时制定预防措施对妊娠结局的影响。方法对如皋市人民医院妇产科2007年9月至2011年3月未足月胎膜早破的不同就诊时间实行早期监测及对妊娠结局的影响进行回顾性分析。结果本研究结果显示122例中阴道分娩81例(66.4%),剖宫产41例(33.6%)。小于34孕周的产妇围产儿病死率、呼吸窘迫综合征(RDS)发生率及新生儿窒息率明显高于34孕周以上者,差异有显著性(P<0.05),而大于34孕周的产妇围产儿存活率有明显提高。结论未足月胎膜早破发生的孕龄影响宫内胎儿的预后,对未足月胎膜早破早期监测并采取针对性的处理措施可改善母胎妊娠结局。
Objective To investigate the effect of early monitoring on premature rupture of membranes and to make preventive measures on the outcome of pregnancy. Methods Rugao People’s Hospital Obstetrics and Gynecology from September 2007 to March 2011 untimely premature rupture of membranes of different visits to implement early monitoring and pregnancy outcomes were retrospectively analyzed. Results The study showed 81 cases of vaginal delivery in 81 cases (66.4%) and cesarean section in 41 cases (33.6%). Maternal perinatal mortality, respiratory distress syndrome (RDS) incidence and neonatal asphyxia were significantly lower than 34 gestational weeks, with a significant difference (P <0.05) between 34 weeks and 34 weeks of gestation Maternal perinatal survival rate has significantly improved. Conclusion The preterm premature rupture of membranes may affect the prognosis of intrauterine fetus. Premature rupture of membrane rupture may be monitored early and targeted treatment may be taken to improve the pregnancy outcome.