早产合并胎膜早破98例临床分析

目的分析早产合并胎膜早破（PPROM）的相关因素，制定预防措施，降低围产儿发病率和病死率。方法对98例PPROM者进行回顾性分析。结果不同孕周胎膜早破发生的早产其围产儿各种疾病的发生率和病死率差异显著，孕周〉34wk者其围产儿疾病发生率明显降低而存活率明显增加。因臀位、早产（流产）史、阴道炎、妊娠期高血压疾病、双胎等胎膜早破导致PPROM主要原因；另有一部分原因不明。结论胎膜早破是产科常见的并发症，若积极干预、适当适长孕龄，可望降低围生儿病死率。

Clinical Analysis on 98 Cases of Prematurity and PRM

Objective The objective is to analyze factors of prematurity and PRM and formulate prevention measures to reduce the rate of prematurity and its death rate as well Methods Retrospective analysis was made on 98 patients with that problem. Results PRM in different gestational weeks and various diseases rate and CFR were significantly different. The disease rate of the prematurity child was noticeably lowered down but the survival rate was increased when the pregnancy time was above 34wk. The major reason leading to this problem lay in rump position, abortion history, vaginitis, HT at gestational period and PRM caused by twins. There were also some other unknown factors. Conclusion PRM is a common complication in OG The CFR is to be reduced if intervention is made positively and MA is prolonged properly.