早产胎膜早破妊娠200例临床分析

目的探讨早产胎膜早破(PPROM)的发生因素、分娩方式、处理及妊娠结局。方法对PPROM产妇200例临床资料进行回顾性分析。结果导致PPROM相关因素中以不明原因、头盆不称为主;孕28～35周与孕36～37周PPROM产妇剖宫产率比较差异无统计学意义(P>0.05)。孕28～35、孕36周产妇新生儿窒息率均高于孕37周者;孕28～35周新生儿呼吸窘迫综合征发生率、感染率、围产儿病死率明显高于孕36、37周者,差异均有统计学意义(P<0.01)。结论 PPROM应先排除宫内感染,降低新生儿呼吸窘迫综合征的发生率;孕28～35周采用期待疗法,以降低新生儿病死率;孕36～37周者与足月妊娠的PPROM处理相同。

The clinical analysis of pregnancy of premature delivery premature rupture of membrane on 200 cases report

Objective To explored the happening factors,delivery,therapy and pregnancy outcomes of premature delivery premature rupture of membrane（PPROM）.Methods Retrospectively analyzed the clinical data of 200 puerpera with PPROM.Results The mainly factors causing PPROM were unknown reason and cephalopelvic disproportion.There was no significant difference of caesarean delivery rate between pregnant women of 28~35 gestational weeks and pregnant women of 36~37 gestational weeks（P〈0.05）.The newborn asphyxia rate of pregnant women of 28~35,36 gestational weeks was higher than that of the pregnant women of 37 gestational weeks;the newborn incidence of respiratory distress syndrome,infection rate and mortality of the pregnant women of 28~35 gestational weeks were higher than those of the pregnant women of 36,37 gestational weeks,and the differences were statistically significant（P〈0.01）.Conclusion The clinician should exclude intrauterine infection firstly for PPROM patients to reduce the incidence of respiratory distress syndrome and adopt expectation treatments for the pregnant women of 28~35 gestational weeks to reduce newborn death rate.The treatment method of PPROM for the pregnant women of 36,37 gestational weeks is the same as the full-term pregnancy.