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目的:探讨早产胎膜早破53例临床分析。方法:回顾性分析我院2013年4月~2014年4月53例早产胎膜早破孕妇的临床资料。结果:引起胎膜早破的原因中占首位的是生殖道感染占28.30%,其次是胎位异常,占18.87%,排第三为的是流产引产史,占13.21%。孕28~33+6周的产妇自然分娩、阴道助产和剖宫产的发生率与孕34~36+6周的产妇比较,差异无显著性(p>0.05),孕28~33+6周新生儿窒息、呼吸窘迫、高胆红素血症、新生儿死亡率均显著高于孕34~36+6周,差异有显著性(p<0.05)。结论:引起胎膜早破的主要原因是生殖道感染、胎位异常、流产引产史,生殖道感染为早产胎膜早破的主要诱发因素,对28~33+6周的孕妇宜采用期待疗法,延长妊娠天数,减少母婴并发症的发生。
Objective: To investigate the clinical analysis of premature rupture of membranes in 53 cases. Methods: The clinical data of 53 pregnant women with preterm premature rupture of membranes in our hospital from April 2013 to April 2014 were retrospectively analyzed. Results: The cause of premature rupture of membranes was reproductive tract infection accounted for 28.30%, followed by fetal abnormalities, accounting for 18.87%, ranked third for the abortion history, accounting for 13.21%. The incidence of spontaneous delivery, vaginal delivery and cesarean section between 28 and 33 + 6 weeks of gestation was not significantly different from that of 34 to 36 + 6 weeks of gestation (p> 0.05), 28 to 33 + 6 Weekly neonatal asphyxia, respiratory distress, hyperbilirubinemia, neonatal mortality were significantly higher than the gestational 34 ~ 36 + 6 weeks, the difference was significant (p <0.05). Conclusion: The main causes of premature rupture of membranes are genital tract infection, fetal position abnormalities, history of abortion induced abortion, reproductive tract infection is the main predisposing factor of premature rupture of membranes, prospective treatment should be used for 28 ~ 33 + 6 weeks pregnant women, Prolong the number of pregnancy days and reduce the incidence of maternal and child complications.