64例干预性早产的临床分析

目的:了解干预性早产的构成因素以及对母婴预后的影响。方法:回顾性分析我院64例干预性早产病例的临床资料。结果:妊娠期肝内胆汁淤积症(ICP)所致的胎儿窘迫是干预性早产的首位因素,其次是重度子痫前期。孕周>34周的早产儿并发症发生率及围生儿死亡率明显低于孕周<34周的早产儿(P<0.05)。定期的产前检查、终止妊娠前糖皮质激素的应用可降低早产儿的并发症和围生儿的死亡率。结论:定期产前检查、适时选择干预性早产对提高围生儿存活率、改善妊娠结局有益处。

Clinical Analysis of 64 Cases of Controlled Premature Delivery

Objective:To understand the causes of controlled premature delivery and its influences on mothers and newborns.Methods: To analyze the data of 64 cases of controlled premature delivery retrospectively.Results: The first-place factor in controlled premature delivery was fetal distress resulting from intrahepatic cholestasis of pregnancy(ICP),and the second was severe pre-eclampsia.In cases of gestational age>34 weeks the rate of complications and perinatal mortality of premature infants was eminently lower that that in cases < 34 weeks(P<0.05).Regular antenatal care and timely ceasing the pre-gestation use of glucocorticosteroid wald reduce the rate of complications and perinatal mortality and improve the gravidity final.Conclusions: Regular antenatal care and timely choice of comtrolled premature delivery can improve the survival rate of perinatal babies and the pregnant prognosis.