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目的探讨早产胎膜早破(PPROM)发生的危险因素及出现PPROM后选择适当的分娩时机和合适的方式分娩。方法回顾分析72例PPROM的临床资料。结果61.1%有易发因素存在,比较孕28～33+6周与孕34～36+6周的PPROM,其分娩方式差异无显著性(P>0.05),但孕28～33+6周出生的新生儿出现并发症及死亡明显高于孕34～36+6周出生的新生儿。结论积极发现并处理高危因素,适当延长孕周,以减少新生儿出现并发症及病死率,权衡母婴利弊基础上来决定分娩方式,不应强调阴道分娩或过早选择剖宫产。
Objective To explore the risk factors of premature rupture of membranes (PPROM) and to choose the appropriate timing of childbirth and appropriate delivery after PPROM. Methods Retrospective analysis of 72 cases of PPROM clinical data. Results There were 61.1% predilection factors in PPROM between 28-33 + 6 weeks and 34-36 + 6 weeks of pregnancy. There was no significant difference in the mode of delivery (P> 0.05), but 28-28 + 6 weeks pregnant Of newborns with complications and death were significantly higher than those born 34 to 36 + 6 weeks pregnant newborns. Conclusions Active detection and treatment of risk factors, prolongation of gestational age, to reduce the complications and mortality of newborns, weigh the advantages and disadvantages of maternal and child to decide the mode of delivery, should not emphasize vaginal delivery or premature choice of cesarean section.