孕28～36^(+6)周胎膜早破247例临床分析  

Analysis of premature rupture of membrane in 247 cases with pregnancy for 28 to 36^(+6) weeks

作　　者：宋蓉蓉[1] 陈珉[1] 孙红梅[1] 

机构地区：[1]安徽省宣城市人民医院妇产科,242000

出　　处：《蚌埠医学院学报》2015年第4期482-484,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨孕28~36+6周胎膜早破发生的危险因素、分娩方式、围生儿结局及其诊治策略。方法:回顾性分析孕28~36+6周胎膜早破247例临床资料,并依据孕龄不同,分析28~31+6周(A组)、32~33+6周(B组)、34~36+6周(C组)各组危险因素、分娩方式、围生儿的结局。结果:A组阴道分娩率低于C组,而剖宫产率高于C组(P<0.05);A组新生儿呼吸窘迫综合征和新生儿肺炎发生率均明显高于C组(P<0.01),A组新生儿窒息发生率明显高于B组和C组(P<0.01),而B组和C组新生儿呼吸窘迫综合征、新生儿窒息和新生儿肺炎发生率差异均无统计学意义(P>0.05)。3组围生儿死亡差异无统计学意义(P>0.05)。结论:对未足月胎膜早破及时诊断、干预、充分予以权衡,延长孕周与围生儿结局的个性化评估对提高产科质量有重要的意义。Objective：To investigate the risk factors,mode of delivery,perinatal outcome,diagnosis and treatment of premature rupture of membrane in pregnancy for 28 to 36^ ＋6 weeks. Methods：The clinical data of 247 cases with pregnancy for 28 to 36 ^＋6 weeks were retrospectively analyzed. The risk factors,mode of delivery and perinatal outcome in group A（ pregnancy for 28 to 31 ^＋6 weeks） ,group B （pregnancy for 32 to 33 ^＋6 weeks） and group C（pregnancy for 34 to 36^ ＋6 weeks） were analyzed. Results：The vaginal delivery and cesarean section rates in group A were lower and higher than those in group C,respectively（P〈0. 05）. The incidences of neonatal respiratory distress syndrome and neonatal pneumonia in group A were significantly higher than those in group C（P 〈0. 01）. The incidence of neonatal asphyxia in group A was significantly higher than that in group B and group C（P〈0. 01）,the differences of the neonatal respiratory distress syndrome,neonatal asphyxia and neonatal pneumonia between group B and group C were not statistically significant（P〉0. 05）. The differences of perinatal death between 3 groups were not statistically significant（P〉0. 05）. Conclusions：The timely diagnosis and intervention of preterm premature rupture of membrane, extending the pregnancy period and personalized assessment of perinatal outcome play an important role in improving the quality of obstetrics.

关 键 词：妊娠 未足月胎膜早破 围生儿结局 

分 类 号：R714.1[医药卫生—妇产科学]