未足月胎膜早破120例临床分析

目的：探讨未足月胎膜早破分娩方式及对妊娠结局的影响。方法：将我院120例未足月妊娠胎膜早破患者按照孕周分为观察组和对照组,比较两组分娩情况和新生儿结局。结果：观察组阴道分娩68例,对照组阴道分娩52例,差异无统计学意义（P〉0.05）。观察组新生儿窒息、新生儿呼吸窘迫综合征、新生儿肺炎、新生儿缺氧缺血性脑病、新生儿硬肿症、新生儿死亡发生率显著高于对照组,差异有统计学意义（P〈0.05）。结论：对未足月胎膜早破患者,选择期待治疗可以降低孕产妇并发症发生率和围生儿死亡率,改善母儿预后,妊娠晚期节制性生活,预防感染,必要时适当使用宫缩抑制剂,同时加强产前诊惭,以便减少畸形儿出生。

Clinical Analysis of 120 Cases PPROM

Objective： To discuss mode of delivery of premature rupture of membranes and pregnancy outcome.Method： 120 cases of patients with premature rupture of membranes were divided into observation group and control group according to gestational in our hospital,compared labor conditions,and neonatal outcomes.Result： In 68 cases of vaginal delivery in observation group,52 cases of vaginal delivery in control group,the difference was not statistically significant（P〉 0.05）.Observation group,neonatal asphyxia,neonatal respiratory distress syndrome,neonatal pneumonia,neonatal hypoxic ischemic encephalopathy,newborn scleredema,the incidence of neonatal deaths increased significantly,the difference was statistically significant（P 〈0.05）.Conclusion： PPROM patients select expect the treatment to reduce maternal morbidity and perinatal child mortality,improve the prognosis of the mother children,sexual restraint in late pregnancy,prevention of infection,when necessary,appropriate use of tocolytic,strengthen prenatal diagnosis ashamed at the same time,in order to reduce deformed children born.