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目的:探讨不同孕周未足月胎膜早破保胎时间对母儿结局的影响。方法:选择孕28~34周孕妇327例(A组),孕35~37周孕妇260例(B组)。两组再按保胎时间<24 h、24~72 h和>72 h分组。比较各组母婴结局。结果:A组产后出血、产褥感染、新生儿窒息、围生儿死亡、肺部感染、颅内出血、RDS均明显多于B组(P<0.05);A组保胎时间越长,产褥感染率、肺部感染率越高(P<0.05),而产后出血、新生儿窒息、围生儿死亡、颅内出血、RDS无明显变化(P>0.05);B组保胎时间越长,产后出血、产褥感染、新生儿窒息、围生儿死亡、肺部感染、颅内出血、RDS均显著增加(P<0.05)。结论:对28~34周孕妇在无产科指征或母婴感染征象时,可积极保胎适当延长孕周;对35~37周孕妇应适时终止妊娠,以降低母婴发病率和死亡率。
Objective: To investigate the effects of different gestational weeks on preterm premature rupture of membranes during maternal and fetal outcomes. Methods: 327 pregnant women aged 28-34 weeks (Group A) and 260 pregnant women (Group B) 35-37 weeks pregnant women were enrolled in this study. The two groups were grouped according to the time of miscarriage <24 h, 24 ~ 72 h and> 72 h. Compare maternal and infant outcomes in each group. Results: A group of postpartum hemorrhage, puerperal infection, neonatal asphyxia, perinatal death, pulmonary infection, intracranial hemorrhage, RDS were significantly more than the B group (P <0.05); A group longer miscarriage time, puerperal Infection rate and lung infection rate (P <0.05), postpartum hemorrhage, neonatal asphyxia, perinatal death, intracranial hemorrhage, RDS showed no significant change (P> 0.05) Bleeding, puerperal infection, neonatal asphyxia, perinatal death, pulmonary infection, intracranial hemorrhage, RDS were significantly increased (P <0.05). CONCLUSIONS: Pregnant women aged 28-34 weeks may be motivated to extend their gestational age actively while having no indications of obstetrics or signs of mother-to-child infection. Pregnant women should be given a timely termination of pregnancy in 35-37 weeks to reduce their morbidity and mortality.