论文部分内容阅读
目的探讨早产型胎膜早破(preterm premature rupture ofmembranes,PPROM)高危因素、并发症、临床处理及妊娠结局。方法回顾性分析2010年1月至2010年12月在河南省安阳市妇幼保健院产一科住院的早产型胎膜早破的病例176例。结果93.1%的PPROM存在高危因素,其中25.6%患者出现相关并发症;经期待疗法延长胎龄18h~7d,平均3~4d;比较孕29+2周~33+6周与34周~36+6周的PPROM,发现两组PPROM母体产褥感染、新生儿窒息率、RDS发生率等有显著性差异(P<0.05)。结论导致PPROM的因素很多;一旦出现并发症应积极处理;对孕29+2~33+6周者宜用期待疗法延长胎龄,以获良好的妊娠结局。
Objective To investigate the risk factors, complications, clinical management and pregnancy outcome of preterm premature rupture of membranes (PPROM). Methods A retrospective analysis of January 2010 to December 2010 in Anyang City, Henan Province, Maternal and Child Health Hospital, a hospitalized premature rupture of membranes of 176 cases of premature rupture of membranes. Results 93.1% of PPROM patients had high risk factors, of which 25.6% patients had complications. After expectant treatment, the gestational age was extended from 18h to 7d with an average of 3 to 4 days. Compared with 29 + 2 weeks to 33 + 6 weeks and 34 weeks to 36 + 6 weeks PPROM found PPPP maternal puerperal infection, neonatal asphyxia, RDS incidence was significantly different (P <0.05). CONCLUSION: There are many factors that lead to PPROM. In the event of complications, treatment should be actively treated. Expectant therapy should be used to prolong the gestational age in pregnant women with 29 + 2 to 33 + 6 weeks to achieve a good pregnancy outcome.