未足月胎膜早破109例妊娠结局分析  

Clinical analysis of pregnancy outcome in preterm premature rupture of membranes in 109 patients

作　　者：周毅惠[1] 周银燕[1] 曹锋[1] 

机构地区：[1]皖南医学院附属弋矶山医院妇产科,安徽芜湖241001

出　　处：《皖南医学院学报》2011年第4期305-307,共3页Journal of Wannan Medical College

摘　　要：目的:探讨未足月胎膜早破的妊娠结局。方法:选择我院2009年6月～2010年12月住院的109例未足月胎膜早破患者进行回顾性分析,按发病孕龄分为3组:A组44例,发病孕龄28～33+6周;B组37例,发病孕龄34～35+6周;C组28例,发病孕龄36～36+6周。比较不同孕周及分娩方式的选择对新生儿窒息率的影响。结果:A组新生儿窒息率44.9%,B组为26.83%,C组为13.8%,各孕周之间新生儿窒息差异有统计学意义(P<0.05);不同孕周组自然分娩率和剖宫产率比较差异无统计学意义(P>0.05);两种分娩方式新生儿窒息率差异无统计学意义(P>0.05)。结论:对于孕28～33+6周未足月胎膜早破者,宜采取期待治疗,以减少新生儿并发症的发生;选择合适分娩方式,适时终止妊娠能获得良好妊娠结局。Objective：To investigate the pregnancy outcomes of preterm premature rupture of membranes（PPROM）.Methods： We included 109 in-patients of PPROM during Jun.2009 and Dec.2010,and allocated them in terms of gestational age to three groups for this retrospective study.Group A（n=44）with gestation of 28 weeks and less than 34 weeks,group B（n=37）,34 weeks under 36 weeks and group C（n=28）,36 weeks greater than 6 days.The influential factors associated with gestational ages and mode of delivery were analyzed for comparing the results.Results： Neonatal asphyxia was 44.9% for group A,26.83% for group B and 13.8% for group C（P0.05）.No significant statistical difference was found in different gestational age with spontaneous delivery or rate of cesarean（P 0.05）,and the two modes of delivery had no involvement in asphyxia of newborns（P 0.05）.Conclusion： Expectant management is necessary for gestational ages of 28 weeks but less than 34 weeks to reduce the complications of delivery.Besides,right mode of delivery and termination of gestation may lead to desirable pregnancy outcomes.

关 键 词：胎膜早破 早产 分娩方式 妊娠结局 

分 类 号：R714.433[医药卫生—妇产科学]