不同孕周未足月胎膜早破对母儿结局的影响分析(1)

http://www.100md.com 2018年2月25日 《中国医学创新》 2018年第6期

     【摘要】 目的：探討不同孕周未足月胎膜早破(preterm premature rupture of membranes，PPROM)孕妇的保胎时间对母儿结局的影响。方法：本研究选取2016年7月-2017年10月本院79例不同孕周未足月胎膜早破单活胎孕妇为研究对象。其中28～31+6周胎膜早破35例，将其分为保胎组(n=18)和非保胎组(n=17)；32～33+6周胎膜早破44例，将其分为保胎组(n=23)和非保胎组(n=21)。对比28～31+6周与32～33+6周未足月胎膜早破的母儿结局。结果：28～31+6周保胎组宫内感染率明显高于非保胎组，新生儿死亡率明显低于非保胎组，差异均有统计学意义(P<0.05)。32～33+6周保胎组的剖宫产率、宫内感染率均明显高于非保胎组，且新生儿呼吸窘迫综合征率明显低于非保胎组，差异均有统计学意义(P<0.05)。结论：对28～31+6周孕妇在无宫内感染时，可积极保胎延长孕周；对32～33+6孕周孕妇应适时终止妊娠，以减少宫内感染和剖宫产。

    【关键词】 不同孕周； 未足月胎膜早破； 母儿结局
, 百拇医药
    Analysis of the Effect of Preterm Premature Rupture of Membranes in Different Gestational Weeks on Maternal and Fetal Outcomes/SHEN Yingji.//Medical Innovation of China，2018，15(06)：107-109

    【Abstract】 Objective：To investigate the effect of pregnancy retention time on maternal and fetal outcomes in pregnant women with premature premature rupture of membranes(PPROM) at different gestational weeks.Method：From July 2016 to October 2017，79 pregnant women with PPROM from different gestational weeks were selected.35 cases of PPROM for 28-31+6 weeks were divided into the prevent miscarriage group(n=18)and the non-prevent miscarriage group(n=17)；44 cases of PPROM for 32-33+6 weeks were divided into the prevent miscarriage group(n=23)and the non-prevent miscarriage group(n=21).Maternal and infant outcomes of PPROM were compared between 28-31+6 weeks and 32-33+6 weeks.Result：Intrauterine infection rate in the prevent miscarriage group for 28-31+6 weeks was significantly higher than that in the non-prevent miscarriage group，the neonatal mortality rate in the prevent miscarriage group was significantly lower than that in the non-prevent miscarriage group，the differences were statistically significant(P<0.05).The cesarean section rate，the intrauterine infection rate in the prevent miscarriage group for 32-33+6 weeks were significantly higher than those in the non-prevent miscarriage group，neonatal respiratory distress syndrome in the prevent miscarriage group was significantly lower than that in the non-prevent miscarriage group，the differences were statistically significant(P<0.05).Conclusion：Pregnant women without intrauterine infection at the age of 28-31+6 weeks could actively protect the fetus and prolong the gestational weeks；in order to reduce intrauterine infection and cesarean section，32-33+6 gestational weeks pregnant women should terminate pregnancy timely.

    【Key words】 Different gestational weeks； Preterm premature rupture of membranes； Maternal and infant outcome, 百拇医药(申英姬)

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