未足月胎膜早破期待治疗时间的影响因素及意义

发布时间：2018-01-15 02:32

本文关键词：未足月胎膜早破期待治疗时间的影响因素及意义　出处：《中国妇产科临床杂志》2015年04期 　论文类型：期刊论文

【摘要】：目的探讨未足月胎膜早破(PPROM)期待治疗时间的影响因素及临床意义。方法回顾性分析2011年12月至2013年1月在福建省妇幼保健院分娩的28~33周+6未足月胎膜早破92例患者的临床资料。根据期待治疗时间将其分为48~168h组(52例)和168h组(40例)。比较两组患者孕周、羊水量、白细胞计数、C反应蛋白(CRP)水平及新生儿并发症等。结果 48~168h组患者的年龄和破膜孕周分别为(30.87±5.45)岁和(31.19±1.53)周,168h组分别为(28.18±4.60)岁和(30.32±1.56)周,两组比较,差异均有统计学意义(P均0.05);48~168h组新生儿窒息和低出生体质量儿发生率分别为19.23%(10/52)和57.69%(30/52),168h组分别为5.00%(2/40)和80.00%(32/40),两组比较,差异均有统计学意义(P均0.05);孕妇年龄、破膜孕周与期待治疗时间呈负相关[OR值分别为0.364(95%CI:0.146~0.913)和0.673(95%CI:0.496~0.915)],羊水指数与期待治疗时间呈正相关[OR值=1.258(95%CI:1.034~1.531)]。结论未足月胎膜早破期待治疗时间与孕妇年龄、破膜孕周及羊水指数有关。期待治疗时间长新生儿窒息发生率低,低出生体质量儿发生率高。
[Abstract]:Objective to study the PPROM of premature rupture of unmatured membranes. The influencing factors of expectant treatment time and its clinical significance. Methods retrospective analysis of 2833 weeks of delivery in Fujian Maternal and Child Health Care Hospital from December 2011 to January 2013. 6 Clinical data of 92 patients with premature rupture of unmatured membranes. 52 cases were compared with 40 cases in 168h group. The gestational weeks were compared between the two groups. Amniotic fluid, white blood cell count. Results the age and gestational age of the patients in the 48h 168h group were 30.87 卤5.45 years old, and those of the patients in the 48 ~ 168h group were 30.87 卤5.45 years old (P < 0.05). 31.19 卤1.53 weeks. 168h group was 28.18 卤4.60 years old and 30.32 卤1.56 weeks old, the difference was statistically significant (P < 0.05). The incidence of asphyxia and low birth weight infants in 48h group were 19.2310 / 52 and 57.6930 / 52, respectively. In the 168h group, the difference was 5.00 and 80.002 / 40, respectively, and there were significant differences between the two groups (P < 0.05). There was a negative correlation between the age of pregnant women, gestational age and expectant treatment time. [The OR values were 0.364 / 95CI: 0.146 / 0.913) and 0.67395 CI: 0.496 / 0.915) respectively. Amniotic fluid index was positively correlated with expected treatment time. [Conclusion the expectant treatment time of premature rupture of unmatured membranes and the age of pregnant women. The rate of neonatal asphyxia was low and the incidence of low birth weight infants was high.
【作者单位】：福建省妇幼保健院妇产科;
【分类号】：R714.433
【正文快照】： 据统计,未足月胎膜早破(PPROM)发生率为2.0%~3.5%,孕周越小,孕产妇、胎儿感染率及围生儿死亡率越高[1]。既往研究表明,延长PPROM孕妇期待治疗时间能降低新生儿感染率[2-3],但延长孕周与终止妊娠时机之间的平衡难以把握。本研究通过分析92例PPROM孕妇期待治疗时间的相关危险因

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