未足月胎膜早破365例临床分析  

A clinical analysis on 365 cases of premature rupture of membranes

作　　者：梁碧秀[1] 李莉[1] 刘菊莲[1] 

机构地区：[1]重庆市妇幼保健院,400013

出　　处：《重庆医学》2009年第24期3070-3071,共2页Chongqing medicine

摘　　要：目的探讨未足月胎膜早破的临床特征和治疗策略。方法回顾性分析重庆市妇幼保健院2003年1月至2008年12月收治的未足月胎膜早破患者365例的临床资料,总结其临床特征及围产结局。结果未足月胎膜早破的发病率是2%;发生未足月胎膜早破的相关因素依次是感染、子宫张力高、胎位异常等;其围产儿并发症以早产、胎儿窘迫、RDS为主;其围产儿结局与孕周直接相关。结论针对未足月胎膜早破的发生的相关因素采取采取相应的临床处理,增加孕期保健,综合治疗,可减少母儿病率,改善早产儿预后。Objective To explore the clinical characteristics and treatment strategies in preterm premature rupture of membranes. Methods The clinical data of 365 cases of preterrn premature repture of membranes from January 2003 to December 2008 in our hospital were retrospectively analyzed. The characteristics and perinatal outcomes were summarized. Resulta The incidence rate of preterm premature repture of membranes was 2 %. The relative factors developing preterm premature repture of membranes were in turn infection,high tension of uterus and abnormal fetal position. The perinatal complications were mainly preterm, fetal distress and RDS. The perinatal outcomes were directly related to the gestational weeks. Conclusion According to the relative factors leading to preterm premature rupture of membranes, adopting the relative clinical treatment, strengthening the gestataional health and comprehensive treatemtn may reduce the morbidity of maternal and newborn and improve the prognosis of preterm neonates.

关 键 词：未足月胎膜早破 围产儿 

分 类 号：R714.433[医药卫生—妇产科学]