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1、妊娠未足月胎膜早破臨床診治相關因素分析【摘要】目的探討未足月胎膜早破的妊娠結局及臨床處理。方法對南方醫(yī)科大學附屬花都醫(yī)院2005年3月至2008年12月收治的124例未足月胎膜早破患者(其中孕28~33+6周26例為A組;孕34~36+6周98例為B組)的臨床資料進行回顧性對照分析。同時隨機抽取同期住院妊娠足月無胎膜早破者248例作為對照組進行比較。結果孕28~33+6周與孕34~36+6周未足月胎膜早破母親產(chǎn)褥感染、產(chǎn)后出血、分娩方式的比較,差異無統(tǒng)計學意義(P>0.05)。未足月胎膜早破組產(chǎn)后出血與足月分娩組比較,二者差異有統(tǒng)計學意義(P
2、<0.05)。孕28~33+6周潛伏期≤24h與潛伏期>24h比較,新生兒窒息有差異有統(tǒng)計學意義(P<0.05),孕34~36+6周潛伏期>24h與潛伏期≤24h比較,新生兒感染差異有統(tǒng)計學意義(P<0.05)。孕28~33+6周未足月胎膜早破新生兒窒息。圍產(chǎn)兒死亡率明顯高于孕34~36+6周,差異有統(tǒng)計學意義(P<0.05)。結論對不同孕周的胎膜早破應采取不同的治療方法。孕28~34周胎膜早破產(chǎn)婦,宜采取期待療法,通過正確應用預防感染、促進胎肺成熟及抑制子宮收縮等方法,以達到提高新生兒存活率,減少新生兒并發(fā)癥之
3、目的。選擇合適分娩時機及分娩方式,能獲得良好妊娠結局?!娟P鍵詞】未足月胎膜早破;期待治療;妊娠結局 [Abstract]ObjectiveToanalyzeclinicalmanagementand13pregnancyoutcomeinpregnancycomplicatedwithpretermprematureruptureofmembranes(PPROM).MethodsTheclinicaldataof124patientswithprematureruptureofmembranesinHuaduHospitalAffiliated
4、toSouthMedicalUniversityfromJanuary2005toDecember2008wereretrospectivelystudied.Twentysixpatientswithpretermprematureruptureofthemembranesat28~33+6weekswereselectedasgroupA,while98patientswithprematureruptureofmembranesat34~36+6weeksasgroupB.Atthesametimerandomlyselectedfull-t
5、ermpregnancywithunbrokenmembraneshospitalizedinthesameperiod,248caseswasascontrastgroupforcomparison.ResultsInpatientsat28~33+6weeksgestationcomparedwith34~36+6weeksgestationonPPROM,thepuerperalinfection,postpartumhemorrhageanddeliverymethodswasnostatisticallydifferences(P>
6、0.05).ThepostpartumhemorrhageofPPROMgroupcomparedwiththefull-termdelivery,thedifferencewasstatisticallysignificant(P<0.05).Thelatentperiod≤24hourscomparedwithlatentperiod>24hoursonthepatientsat28~33+6weeksofPPROM,theasphyxiatednewbornswasstatisticallydifferences(P<0.0
7、5).Thelatentperiod>24hourscomparedwithlatentperiod≤24hoursonthepatientsat34~36+6weeksofPPROM,theneonatalinfectionwas13statisticallydifferences(P<0.05).Theasphyxiatednewbornsandperinatalmortalitywerehigherin28~33+6weeksgestationthan34~36+6weeksgestation,thedifferencewasst
8、atisticallysignificant(P<0.05).ConclusionThetreatmentschem