早产合并胎膜早破102例临床分析

目的探讨早产合并胎膜早破的发生因素及妊娠结局,选择终止妊娠的方式及时机.方法对我院2002年7月至2004年12月住院分娩的早产合并胎膜早破102例临床资料进行回顾性分析.结果早产合并胎膜早破的易发因素有流产、引产史占首位,达53.9%(55/102),位第二、三位依次为原因不明25.4%(26/102)、胎位异常19.6%(20/102);剖宫产史25.4%(26/102).孕28-34 6周者新生儿窒息率37.5%(15/40)、病死率30.0%(12/40),而孕35～36 6周者分别为17.8%(13/73)、9.6%(7/73),两者差异均有显著性(P＜0.05).结论早产合并胎膜早破在严密监护下适当延长孕龄,可减少新生儿窒息及降低围产儿的病死率,而并不增加剖宫产率.

Clinical analysis of 102 case of preterm premature rupture of membranes

Aim To explore the reasons and pregnant ending for PPROM, to choose the method and moment to terminate pregnancy.Methods From Jul y 2002 to December 2004,retrospective study was done on 102 cases of PPROM. Results The first factor of PPROM was history of abortion or induction of labor (53.9%).The second and three factors were idiopathic (25.4%),abnormal feta l position (19.6%) and history of cesarean section (25.4%).The rate of neonatal asphyxia of the gestation 28 to 34~(+6)weeks was 37.5% (15/40),the fatality r ate was 30.0% (12/40),but of the gestation 35 to 36~(+6 )weeks were 17.8% (13 /73) and 9.6% (7/73) separately.The difference was significant between the two g roups.Conclusion Under close surveillance,the gestational age of PPRO M can be prolonged properly to decrease the rate of neonatal asphyxia and the fa tality rate of perinatal.There is no increase the rate of cesarean section.