早产胎膜早破95例妊娠结局的临床分析

发布时间：2018-04-21 17:34

本文选题：早产 + 胎膜早破　；参考：《实用妇产科杂志》2017年06期

【摘要】：目的:探讨早产胎膜早破(PPROM)的相关构成因素及不同孕周的妊娠结局。方法:选取我院2013年10月至2016年7月期间收治的95例PPROM的孕妇作为研究对象,分为观察组(孕周2833~(+6)周)和对照组(孕周3436~(+6)周),分析其相关构成因素、分娩方式及妊娠结局。结果:生殖道感染是PPROM的最主要构成因素,占33.68%。观察组的剖宫产率、新生儿窒息率、新生儿感染率及新生儿死亡率均显著高于对照组,差异均有统计学意义(P0.05)。观察组宫内感染率及产褥期感染率高于对照组,但差异无统计学意义(P0.05)。结论:生殖道感染是PPROM最主要的构成因素,对妊娠不足34周的PPROM患者采取积极保胎治疗及预防感染措施,以延长其孕周降低新生儿并发症的发生率,改善妊娠结局。
[Abstract]:Objective: to investigate the related factors of premature rupture of membranes (PPROM) and pregnancy outcome in different gestational weeks. Methods: from October 2013 to July 2016, 95 pregnant women with PPROM were divided into two groups: observation group (gestational week 2833 weeks) and control group (gestational week 3436 weeks). The related factors, delivery mode and pregnancy outcome were analyzed. Results: reproductive tract infection was the main factor of PPROM, accounting for 33.68%. The cesarean section rate, neonatal asphyxia rate, neonatal infection rate and neonatal mortality in the observation group were significantly higher than those in the control group (P 0.05). The intrauterine infection rate and puerperal infection rate in the observation group were higher than those in the control group, but the difference was not statistically significant (P 0.05). Conclusion: reproductive tract infection is the most important factor of PPROM. In order to prolong the gestational weeks and reduce the incidence of neonatal complications and improve the outcome of pregnancy, the patients with PPROM who have less than 34 weeks of gestation are treated with active fetal care and infection prevention measures.
【作者单位】：首都医科大学附属北京友谊医院;
【分类号】：R714.433

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