论文部分内容阅读
目的探讨不同类型早产母儿情况的区别。方法回顾性分析单胎早产共3 611例,根据3种不同类型,分为自发性早产(SPB)组1 191例、胎膜早破性早产(PPROM)1 564例及医源性早产(IPD)856例。比较3组产妇的一般情况、地塞米松(DXM)的使用、分娩方式、新生儿出生情况、主要并发症的发生率及结局。结果 SPB组产妇年龄>PPROM组,但PPROM组和IPD组(P<0.05);SPB组、IPD组特殊病史均多于PPROM组(P<0.01);地塞米松使用情况,SPB组SPB组和PPROM组(P<0.01)。SPB组、PPROM组新生儿出生体重均>IPD组(P<0.05)。新生儿不良结局SPB组、PPROM组均SPB组和PPROM组(P<0.01);PPROM组肺炎、败血症、黄疸发生率>SPB组和IPD组(P<0.05);IPD组颅内出血发生率 SPB group and PPROM group (P <0.01). SPB group, PPROM group newborn birth weight> IPD group (P <0.05). Neonatal adverse outcomes SPB group, PPROM group were all SPB group and PPROM group (P <0.01); PPROM pneumonia, sepsis, The incidence of jaundice> SPB group and IPD group (P <0.05). The incidence of intracranial hemorrhage in IPD group was lower than that in SPB group and PPROM group (P <0.05). Conclusions There are significant differences between different types of prematurity and the incidence and outcome of perinatal children (P <0.05).