早产合并胎膜早破孕妇的妊娠结局临床分析

发布时间：2019-04-03 05:49

【摘要】：目的:通过研究早产合并胎膜早破(preterm premature rupture of membranes,PPROM)孕妇的妊娠结局,探讨PPROM对产妇和早产新生儿的影响。方法:选择2013年7月至2014年6月我院妇产科收治的PPROM孕妇91例为研究组,同期收治的早产无胎膜早破孕妇89例为对照组,比较两组孕妇的妊娠结局。结果:PPROM组91例孕妇中,剖宫产者62例(68.1%);产后出血者8例(8.8%)。早产组孕妇89例,剖宫产者19例(21.3%);产后出血者1例(1.1%)。PPROM组新生儿结局:胎儿窘迫46例(50.5%),新生儿肺炎7例(7.7%),新生儿窒息9例(9.9%),低体质量13例(14.3%);早产组新生儿结局:胎儿窘迫8例(9.0%),新生儿肺炎1例(1.1%),新生儿窒息2例(2.2%),低体质量4例(5.0%)。PPROM孕妇的剖宫产、产后出血、胎儿窘迫、低体质量的发生率均明显高于早产无胎膜早破孕妇(P0.05)。结论:PPROM对产妇和新生儿均有很大危害,应及时采取措施应对。
[Abstract]:Objective: to study the pregnant outcome of preterm delivery with premature rupture of membranes (preterm premature rupture of membranes,PPROM) and to explore the effect of PPROM on pregnant women and premature newborns. Methods: 91 pregnant women with PPROM from July 2013 to June 2014 in our hospital were selected as the study group and 89 pregnant women without premature rupture of membranes in the same period as the control group. The pregnancy outcomes of the two groups were compared. Results: among 91 pregnant women in PPROM group, 62 (68.1%) were cesarean section and 8 (8.8%) were postpartum hemorrhage. 89 cases of pregnant women and 19 cases of cesarean section (21.3%) in the preterm delivery group; One case of postpartum hemorrhage (1.1%). PPROM group): fetal distress in 46 cases (50.5%), neonatal pneumonia in 7 cases (7.7%), neonatal asphyxia in 9 cases (9.9%), low body weight in 13 cases (14.3%), fetal distress in 46 cases (50.5%), neonatal pneumonia in 7 cases (7.7%), neonatal asphyxia in 9 cases (9.9%). Neonatal outcome: fetal distress in 8 cases (9.0%), neonatal pneumonia in 1 case (1.1%), neonatal asphyxia in 2 cases (2.2%), low body mass in 4 cases (5.0%). Cesarean section and postpartum hemorrhage in PPROM pregnant women. The incidence of fetal distress and low body mass was significantly higher than that of premature pregnant women without premature rupture of membranes (P0.05). Conclusion: PPROM has great harm to pregnant women and newborns, and measures should be taken in time.
【作者单位】：重庆市妇幼保健院产科;重庆医科大学附属第一医院妇产科;
【基金】：国家自然科学基金资助项目(编号:81201745) 重庆市卫生计生委医学科研资助项目(编号:2011-2-155)
【分类号】：R714.433

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