足月前胎膜早破的期待疗法  

Expected therapy for preterm premature rupture of membranes

作　　者：胡映红[1] 

机构地区：[1]开平市中心医院妇产科,广东省529300

出　　处：《实用诊断与治疗杂志》2005年第7期478-479,共2页Journal of Practical Diagnosis and Therapy

摘　　要：目的:探讨足月前胎膜早破期待疗法的可行性。方法:选取足月前胎膜早破病例102例,以为破膜1d内自发子宫收缩而分娩41例为对照组,破膜后行期待治疗3d内结束分娩32例为治疗1组,破膜后行期待治疗3d以上结束分娩29例为治疗2组,通过分析三组的分娩孕周、围生儿情况及产妇感染情况,综合判断期待疗法的效果。结果:期待治疗后围生儿的病死率、呼吸窘迫综合征率均有显著下降,而新生儿感染率及产妇感染率没有显著差异。结论:在严密监测和护理下期待治疗足月前胎膜早破对改善存活儿的预后更具重要意义。Objective To study the feasibility of expected therapy for preterm premature rupture of membranes.Methods One hundred and two cases of preterm premature rupture of membranes were analyzed, of which 41 were delivered within a day of premature rupture of membranes without treat- ment (control group), 32 delivered with expected therapy less than 3 days of premature rupture of membranes (study group 1) and 29 delivered with expected therapy more than 3 days (study group 2).Results The perinatal mortality rate and the respiratory distress syndrome rate were decreased sig- nificantly by expected therapy, but the infection rate of neonates and puerpera had no significant dif- ference.Conclusion The expected therapy of preterm premature rupture of membranes by strict moni- toring and care can play an important role with a best quality of outcome.

关 键 词：足月前胎膜早破 期待疗法 分娩 早产 围产期学 

分 类 号：R714.433[医药卫生—妇产科学]