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目的:对期待疗法治疗未足月胎膜早破的临床效果进行研究。方法:选取2010年8月-2014年4月128例在肇庆市鼎湖区人民医院接受治疗的未足月胎膜早破患者,根据其破膜时孕周情况将其分为观察组与对照组,对照组患者40例,观察组患者88例。两组患者均给予期待疗法进行治疗,治疗后比较两组患者妊娠结局。结果:两组患者在期待治疗时间方面比较,差异具有统计学意义(P<0.05)。两组患者宫内感染、产褥感染情况比较,差异无统计学意义(P>0.05)。观察组围产儿在新生儿窒息、围产儿死亡、新生儿感染、胎儿窘迫方面均显著优于对照组,差异具有统计学意义(P<0.05)。两组患者分娩方式比较,差异无统计学意义(P>0.05)。结论:对于未足月胎膜早破患者应使用期待疗法进行治疗,对患者进行针对的护理,增加其孕龄,从而积极有效的促进胎肺成熟,尽可能将患者延长至34周甚至37周后进行分娩,从而降低围生期感染率及围产儿的病死率。
Objective: To study the clinical effect of expectant therapy on preterm premature rupture of membranes. Methods: From August 2010 to April 2014, 128 cases of premature rupture of membranes were treated in Dinghu District People’s Hospital of Zhaoqing City. According to their gestational age, they were divided into observation group and control group 40 cases in the control group and 88 cases in the observation group. Two groups of patients were given expectant therapy for treatment, after treatment, the pregnancy outcome of two groups were compared. Results: The two groups of patients in expectant treatment time, the difference was statistically significant (P <0.05). Two groups of patients with intrauterine infection, puerperal infection, the difference was not statistically significant (P> 0.05). Perinatal infants in the observation group were significantly better than the control group in neonatal asphyxia, perinatal death, neonatal infection, fetal distress, the difference was statistically significant (P <0.05). There was no significant difference in the mode of delivery between the two groups (P> 0.05). CONCLUSIONS: Patients with preterm premature rupture of membranes should be treated with expectant therapy, targeted care should be given to their patients to increase their gestational age to promote fetal lung maturity positively and effectively, extending the patient to as long as 34 or even 37 weeks After delivery, thus reducing perinatal infection and perinatal mortality.