早产胎膜早破95例妊娠结局的临床分析

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。

Clinical Analysis of Pregnancy Outcome in 95 Cases with Preterm Premature Rupture of Membrane

Objective:To investigate the risk factors of preterm premature ruPture of membrane(PPROM) and their pregnancy outcomes.Methods:The clinical data of 95 cases of patients with PPROM admitted and treated in our hospital from October 2013 to July 2016 were collected,which were divided into two groups,observation group(gestational week 28-33 +6 weeks) and control group(gestational week 34-36 +6 weeks).The risk factors of PPROM,delivery method and pregnancy outcomes were analyzed.Results:Genital tract infection was the main risk factor of PPROM(33.68％).of the incidences of cesarean delivery,neonatal asphyxia,neonatal infections and neonatal death in observation group were significantly higher than those of control group,the differences were statistically significant(P ＜ 0.05).The intrauterine infection and puerperal infection rates of observation group of were higher than those of control group,but differences were not statistically significant (P ＞ 0.05).Conclusions:Reproductive tract infections is the most important risk factor of PPROM.The purpose of active treatment including tocolytic therapy and prevention of infection for the patients with PPROM less than 34 weeks is to prolong the gestational weeks,to reduce the rate of neonatal complication,and to improve the pregnancy outcome.