115例未足月胎膜早破的临床分析

目的探讨未足月胎膜早破的易发因素、临床处理方法及妊娠结局。方法对2003m1—2008．12未足月胎膜早破（PPROM）115例的临床资料进行回顾性分析。结果30％-60％的PPROM存在易发因素。新生儿窒息、并发症及死亡的发生率在28～33＋6孕周组分别为46．77％、19．35％、17．74％；34—36＋6孕周组分别为17．74％、3．23％及3．23％。两组差异有统计学极显著意义（P〈0．01）。结论28—33＋6孕周的PPROM应采取期待疗法以减少新生儿并发症的发生。

Clinical analysis of 115 cases of preterm premature rupture of the membrane

Objective The discuss the easy-happening factors, clinical processing and the pregnancy result of preterm premature rupture of the membrane （PPROM）. Methods The clinical data of 115 cases of PPROM from jannary 2003 to December 2008 were retrospedively analysed. Results There were some easy happening factors in 30% ~60% of PPROM. The neonatal asphyxia rate,the complication rate and the mortality rate in the 28 to 33 ＋6 gestational weeks group were 46.77%, 19. 35%, 17.74%, respectively, while those in the 34 to 36 ＋6 gestational weeks group were 17. 74% ,3.23% ,3.23% ,respectively. There was significant difference between two groups（P 〈0. 01 ）. Conclusion It should be necessary to adopt anticipation therapy in PPROM of 28 to 36 ＋6 gestationa] weeks to reduce the newborn complication occurrence.