未足月妊娠胎膜早破临床分析与探讨(2)
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综上所述，对孕28～34周的PPROM，提倡采取期待疗法-宫缩抑制剂。糖皮质激素以及抗生素的应用是处理未足月胎膜早破的3大措施。PPROM发生后早产常不可避免，需要产科医师确切诊断，并与新生儿科医师密切合作，重视孕妇心理，充分估计期待治疗或立即结束妊娠的利弊，尽可能减少母儿并发症，提高新生儿存活率。
参考文献
[1] 金镇，高琳，未足月胎膜早破对母儿的影响，中国实用妇科与产科杂志，2006，225(6)：407
[2] 乐杰.妇产科学[M]6版.北京:人民卫生出版社，2005，92-145
[3] Sen S,Regbu A,Ferguson SD.Efficacy of a single dose of antenatal steroid in surfactant-treated babies under 31 weeks' gestation.J Matern Fetal Neonatal Med,2002，12：298-303
[4] Schmalisch G,Wauer RR,Bhme B.Effect of early ambroxo treatmenton lung functions in mechanically ventilated preterm newborns who subsequently developed a bronchopulmonary dysplasia(BPD).Respir Med,2000,94(4)：378-384
[5] Silverman NS,Morgan M,Nichols WS.Antibiotic resistance patterns of group B streptococcus in antenatal genital cultiures.Reprod Med,2000,45:979-982
[6] Shobokshi A.Sharawy M.Maternal serum and amniotic fluid cytokines in patients with preterm premature rupture of membranes with and without intrauterine infection.Int J Gyneeol Obstet,2002,79(3)：209-215
[7] Allen SR.Tocolytic therapy in preterm PROM.Clin Obstet Gynecol,1998,41:842-848
综上所述，对孕28～34周的PPROM，提倡采取期待疗法-宫缩抑制剂。糖皮质激素以及抗生素的应用是处理未足月胎膜早破的3大措施。PPROM发生后早产常不可避免，需要产科医师确切诊断，并与新生儿科医师密切合作，重视孕妇心理，充分估计期待治疗或立即结束妊娠的利弊，尽可能减少母儿并发症，提高新生儿存活率。
参考文献
[1] 金镇，高琳，未足月胎膜早破对母儿的影响，中国实用妇科与产科杂志，2006，225(6)：407
[2] 乐杰.妇产科学[M]6版.北京:人民卫生出版社，2005，92-145
[3] Sen S,Regbu A,Ferguson SD.Efficacy of a single dose of antenatal steroid in surfactant-treated babies under 31 weeks' gestation.J Matern Fetal Neonatal Med,2002，12：298-303
[4] Schmalisch G,Wauer RR,Bhme B.Effect of early ambroxo treatmenton lung functions in mechanically ventilated preterm newborns who subsequently developed a bronchopulmonary dysplasia(BPD).Respir Med,2000,94(4)：378-384
[5] Silverman NS,Morgan M,Nichols WS.Antibiotic resistance patterns of group B streptococcus in antenatal genital cultiures.Reprod Med,2000,45:979-982
[6] Shobokshi A.Sharawy M.Maternal serum and amniotic fluid cytokines in patients with preterm premature rupture of membranes with and without intrauterine infection.Int J Gyneeol Obstet,2002,79(3)：209-215
[7] Allen SR.Tocolytic therapy in preterm PROM.Clin Obstet Gynecol,1998,41:842-848
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