未足月胎膜早破患者治疗与早产儿预后的关系

目的 探讨未足月胎膜早破(preterm premature rupture of membranes,PPROM)的临床治疗与早产儿预后的关系.方法 回顾性分析200例PPROM患者的临床资料,比较不同孕周患者的胎膜早破治疗方式与早产儿预后的关系.结果 28～＜34孕周的患者保胎治疗能降低新生儿感染、窒息及死亡的发生率(P＜0.05)；34～＜37孕周患者的保胎治疗新生儿窒息、感染及死亡率与未保胎治疗比较,差异无统计学意义(P＜0.05).结论 根据孕周不同,采取不同的处理方式,能明显改善新生儿的预后,提高新生儿的存活率.

Relationship between preterm premature rupture of membranes treatment with prognosis of premature

Objective To explore the relationship between the clinical treatment of preterm premature rupture of mem- branes （PPROM） and prognosis of premature. Methods The clinical data in 200 cases of PPROM were retrospectively analyzed. The treatment modes of PPROM with different gestational ages were compared and their relationship with the prognosis of prema- ture was analyzed. Results The tocolytic therapy in the patients with gestational age of 28-〈34 weeks could reduce the inci-dence rate of neonatal infection, asphyxia and death （P〈0.05）. The incidence rate of neonatal infection, asphyxia and death in the tocolytie therapy of gestational age of 34-〈37 weeks had no statistical difference compared with non-tocolytic therapy （P〉0.05）. Conclusion According to different gestational ages, taking different management modes can obviously improve the prognosis of newborn and increase the newborn survival rate.