论文部分内容阅读
目的探讨未足月胎膜早破(PPROM)破膜孕周及不同潜伏期长短对母婴妊娠结局的影响及临床意义。方法回顾性分析160例孕28~36+6周PPROM,孕产妇和新生儿的临床资料。结果孕28~33+6周PPROM组,潜伏期>48 h者剖宫产率高于<48 h者,差异有统计学意义(P<0.05);孕34~36+6周PPROM,潜伏期>48 h者与高于<48 h者剖宫产率与母婴合并症发生率,差异无统计学意义(P>0.05);孕34~36+6周PPROM组,潜伏期>48 h者羊膜腔感染率率高于<48 h者,差异有统计学意义(P<0.05),而新生儿结局差异无统计学意义。结论对孕28~33+6周PPROM应采取促胎肺成熟的同时,可适当延长孕周,并考虑剖宫产作为终止妊娠首选;而孕34~36+6周PPROM胎儿肺成熟者应在破膜48 h以内终止妊娠。
Objective To investigate the effect and clinical significance of gestational age of pregnant women with unprotected premature rupture of membranes (PPROM) and different lengths of incubation period on maternal and fetal pregnancy outcomes. Methods The clinical data of 160 pregnant women with PPROM, pregnant women and newborns at 28-36 + 6 weeks of pregnancy were analyzed retrospectively. Results PPROM group with 28 ~ 33 + 6 weeks of pregnancy had a higher cesarean section rate than 48 h (P <0.05), and PPROM with a latent period> 48 There was no significant difference in the incidence of cesarean section and the incidence of mother-infant comorbidity between <48 h and those with PPR> 48 h (P> 0.05) Rate was higher than <48 h, the difference was statistically significant (P <0.05), while the neonatal outcome was no significant difference. Conclusions PPROM should be used to prolong the development of fetal lung during 28-33 + 6 weeks of gestation, while gestational age should be prolonged and cesarean section should be considered as the first choice for termination of pregnancy. In pregnant women with PPROM at 34-36 + 6 weeks, lung maturity should be at Rupture within 48 h termination of pregnancy.