未足月胎膜早破孕妇应用地塞米松对新生儿的影响

发布时间：2018-03-14 01:20

本文选题：未足月胎膜早破　切入点：地塞米松　出处：《新疆医科大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：研究未足月胎膜早破孕妇应用地塞米松后对新生儿妊娠结局的影响方法：回顾性研究2011年2014年在本院治疗的187例未足月胎膜早破孕妇,根据是否使用地塞米松及地塞米松使用时间分为三组：A组,产前未使用地塞米松；B组,产前仅使用1次地塞米松；C组,产前使用2-3次地塞米松。结果：A组新生儿窒息的发生率是12.96%,B组新生儿窒息的发生率是11.67%,C组新生儿窒息的发生率是1.37%。A组与C组的差异具有统计学意义(P0.05),B组与C组的差异具有统计学意义(P0.05)。对于新生儿呼吸窘迫综合征的发生率,A组为10.91%,B组为8.33%.C组为1.37%。统计分析后,A组与C组的差异具有统计学意义(P0.05)结论：对未足月胎膜早破孕妇使用地塞米松可以有效地促进新生儿胎肺成熟及降低新生儿窒息、新生儿呼吸窘迫综合征的发生率,尤其是使用地塞米松时间大于24小时的孕妇,显著提高了新生儿的存活率。
[Abstract]:Objective: To study effects of pregnant women with PPROM after Di Jose Misson on pregnancy outcomes in newborns: a retrospective study of 187 cases in our hospital in 2011 2014 in the treatment of premature rupture of membranes in pregnant women, according to whether the use of Di Jose Misson and Di Jose Misson use time divided into three groups: A group, B group, no prenatal prenatal, Di Jose Misson; using only 1 Di Jose Misson; group C, 2-3 times of antenatal Di Jose Misson. Results: in group A, the incidence rate of neonatal asphyxia was 12.96% in B group, the incidence rate of neonatal asphyxia was 11.67% in C group, the incidence rate of neonatal asphyxia was statistically significant difference between the 1.37%.A group and C group (P0.05), the difference was statistically significant C group and B group (P0.05). The incidence of neonatal respiratory distress syndrome, 10.91% in A group, B group and 8.33%.C group 1.37%. for statistical analysis, the difference in group C and group A had statistical significance (P0.05 ) conclusion: PPROM women using dexamethasone can effectively promote neonatal fetal lung maturation and reduce the incidence of neonatal asphyxia, the incidence of neonatal respiratory distress syndrome, especially the use of dexamethasone for more than 24 hours of pregnant women, significantly increased the survival rate of newborn infants.

【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R714.433

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