早产并胎膜早破86例临床分析

目的探讨早产胎膜早破的妊娠结局。方法对86例早产胎膜早破进行回顾性分析。比较不同孕周对围生儿结局的影响。结果主要诱因为胎位异常及双胎等因素造成宫腔内压力改变。孕28~34周早产胎膜早破新生儿窒息率和死亡比明显高于孕34~37周。结论对于孕28~34周早产胎膜早破患者,宜采取期待疗法,以减少新生儿并发症的发生。预防性应用抗生素,选择合适分娩时机及方式,能获得良好妊娠结局。

Analysis 86 cases of preterm premature rupture of membranes

Objective To study pregnancy outcomes of preterm premature rupture of membranes(PPROM).Methods To review and analyze 86 cases of Preterm Premature Rupture of membranes,and compared the impact of different pregnant periods on pregnant results.Results The main inducement was the pressure changes inside uterus which was caused by abnormal fetal positions and double fetus,etc.Neonatal morbidity and mortality caused by PPROM was obviously higher in 28-34 weeks' gestation than in 34-37 weeks gestation,the difference was statistically significant(P<0.01).Conclusion Regarding cases of PPROM during gestational age of 28-34,it is recommended to use Waiting Management Scheme,so as to decrease neonatal morbidity.Using antibiotics preventively,chose proper delivery time and way,then a good gestation outcome is achievable.