早产临床分析与防治

目的探讨早产发生的因素和防治早产的措施，以降低围产儿的死亡率。方法选用同期足月妊娠１１１例作对照。结果未作产前检查、胎膜早破、臀位和双胎妊娠是早产发生的主要危险因素，与对照组比较，差别有高度显著性（Ｐ＜０．０１）和显著性（Ｐ＜０．０５），前置胎盘、胎盘早剥及重度妊高征与对照组比较，虽差别无显著性（Ｐ＞０．０５），但其早产发生的孕周小早产儿体重低，死亡率特高。结论做好产前检查加强孕期保健是预防早产发生的根本，尽力延长胎龄是降低围产儿死亡率的主要措施。

Clinical analysis of premature delivery and its prevention and treatment

Objective To explore the risk factors causing premature delivery and measures for its prevention and treatment so as to reduce the mortality rate of perinatal infants. Methods 111 cases of full term pregnancy were used as control group to compare with 111 cases of premature delivery. ResultsThe main risk factors of premature delivery were lack of prenatal examination,early rupture of amnionic membrane,breech presentation and twin pregnancy. Their differences with the control group were highly significant ( P <0.01) and significant P <0.05). Though placenta previa,early separation of placenta and severe pregnancy - induced hypertension syndrome did not have much differences ( P >0.05). between the two groups,yet babies with fewer pregnant weeks and lower birth weight had a much higher mortality. Conclusion Prenatal examination medical care for pregnant women are important measures to reduce premature deliveries and the mortality of perinatal infants.