未足月胎膜早破181例临床分析  

A clinical analysis of 181 cases of premature rupture of membranes

作　　者：陆奕华[1] 吴星光[1] 

机构地区：[1]深圳市第六人民医院(广东医学院附属南山医院)产科,518052

出　　处：《国际医药卫生导报》2009年第20期23-25,共3页International Medicine and Health Guidance News

摘　　要：目的探讨未足月胎膜早破的好发因素、处理与妊娠结局。方法对181例未足月胎膜早破进行回顾性分析。比较不同孕周的分娩方式及对围生儿结局的影响。结果76.8%未足月胎膜早破存在好发因素。孕28～34+6周与孕35～36+6周的分娩方式比较,差异无显著性(P>0.05),孕28～34+6周与孕35～36+6周未足月胎膜早破新生儿窒息率比较,差异有显著性(P<0.01)。结论积极预防未足月胎膜早破的发生,对不同孕周的未足月胎膜早破需采取不同的治疗方案,以减少新生儿并发症的发生,提高新生儿存活率。Objective This essay intends to explore into the inducing causes, treatment and pregnancy outcome of premature rupture of membranes.Methods It is a retrospective analysis of 181 cases. Results It has been found out that there were inducing factors for 76.8% premature rupture of membranes. Comparing the delivering ways of the gestational weeks of 28 to 34＋6 weeks ＇with the 35 to 36＋6 weeks＇ there was no sign difference between them （P〉 0.05）. Comparing the rate of asphyxia neonatorum of the gestational weeks of 28 to 34＋6 weeks＇ and 35 to 36＋6 weeks＇ s there was no sign difference between them（P〈 0.01）. Conclusion It can be concluded that in order to lower the rate of complicating diseases and improve the survival probability of newborn babies, it is necessary to take positive precautions against premature rupture of membranes and provide different treatment to the disease in different gestational weeks.

关 键 词：胎膜早破 早产 妊娠结局孕周 

分 类 号：R714.433[医药卫生—妇产科学] R722.12[医药卫生—临床医学]