84例早产并胎膜早破因素分析与防治

目的:探讨早产胎膜早破(pretermprematureruptureofmembranes,PPROM)发生的危险因素及其防治。方法:回顾性分析84例早产并胎膜早破的发生原因及对母婴的影响,并对不同孕龄组28～34周,34+～37周二组作分析比较。结果:感染、臀位、多胎、早产流产史及妊高征占据PPROM病因的前五位。不同孕周的二组早产对母亲影响无显著差别;在新生儿死亡、新生儿呼吸窘迫综合征(RDS)及低体重儿发生率有显著差别(P0.01)。结论:早产并胎膜早破是新生儿发病和死亡的主要原因。胎龄越小、新生儿体重越轻、其死亡率越高。提高早产并胎膜早破的预防、诊断及治疗水平,对围产医学质量的,有着十分重要的意义。

Analysis the Factors of 84 Cases Premature Delivery & Preterm Premature Rupture of Membranes

Objective: To explore the risk factors and prevention and cure of premature delivery and preterm premature rupture of membranes (PPROM).Method: Looking back upon the causes of 84 cases of premature delivery & PPROM and its influence to infants and mothers. And compare two different case groups of 28~34 weeks of gestation and 34+~37 weeks of gestation.Result: The first five pathogenic factors of PPROM are infection, breech presentation, multiplets, premature delivery and miscarriage, and the syndrome of pregnancy hypertension. The two case groups of premature delivery have inconspicuous difference in the influence to women, but have remarkable difference in incidence rate of death of newborn, respiratory distress syndrome (RDS) of newborn, and low birth weight infant (P<0.01). Conclusion: Premature delivery & PPROM are the main causes of onset and death of newborn. The younger of infant and the lighter of birth weight bring the higher of death rate. To raise the levels of prevention, diagnosis and treatment of premature delivery & PPROM are significant to the advance of perinatal medicine.