329例早产原因分析及防治

目的:探讨早产发生的危险因素及对母婴的影响。方法:选取我院1996年1月￣2004年12月住院分娩早产329例为早产组和同期足月分娩329例为对照组,对两组资料分析比较。结果:胎膜早破、胎盘因素、双胎妊娠、臀位占据早产病因的前四位。早产与足月两组对母亲影响差异无显著性,在新生儿死亡、新生儿呼吸窘迫综合征(RDS)及低重儿发生率方面,两组比较,差异有非常显著性(P<0.01)。结论:早产是新生儿发病和死亡的主要原因,提高早产的预防、诊断及治疗水平对围生医学质量有着十分重要的意义。

Analysis on the reasons of 329 cases of premature delivery and its prevention and treatment

Objective:To investigate the dangerous factors of premature delivery and its influence to mother and infant.Methods:329cases of premature delivery selected in our hospital from January 1996 to December 2004 were served as the premature delivery group,and compared with 329 cases of term delivery as a control group at the same time.Results:The first four places of reasons of prematuredelivery were occupied by premature rupture of fetal membranes,placental factor,twin pregnancy and breech presentation.There was nosignificant difference in the influence to mother and infant between two groups.There was very signficant difference in neonatal death,neonatal respiratory distress syndrome and the incidence of low birth weight infant between two group (P<0.01).Conclusion:Premature de-livery is the main reasons of neonatal pathogenesis and death.Improving the levels of prevention,diagnosis and treatment of premature de-livery during perinatal period possesses a very improtant significance.