未足月妊娠胎膜早破的潜伏期、终止妊娠时机及分娩方式对母儿预后的影响  

Without premature rupture of membranes the latency, pregnancy termina-tion timing and mode of delivery on maternal and perinatal prognosis

作　　者：李涧 

机构地区：[1]福建省厦门市长庚医院妇产科,福建厦门361022

出　　处：《中外医疗》2015年第2期20-21,共2页China & Foreign Medical Treatment

摘　　要：目的：探讨分析未足月妊娠胎膜早破的潜伏期、终止妊娠时机及分娩方式对母儿预后的影响。方法回顾性分析该院于2012年4月—2013年8月收治的160例（28~36）＋6周为未足月妊娠胎膜早破孕妇的病历资料，依据孕周分为小孕周组和大孕周组，其中小孕周的孕周为（28~34）＋6周未足月妊娠胎膜早破孕妇，大孕周为（34~36）＋6周未足月妊娠胎膜早破孕妇。结果小孕周组未足月妊娠胎膜早破孕妇新生儿并发症发生率明显高于大孕周未足月妊娠胎膜早破孕妇新生儿并发症的发生率。小孕周组未足月妊娠胎膜早破孕妇的潜伏期时间大于大孕周组未足月妊娠胎膜早破孕妇潜伏期，小孕周组和大孕周组新生儿的并发症发生率和孕妇未足月妊娠胎膜早破的潜伏期进行比较，P〈0.05，差异有统计学意义。小孕周组和大孕周组未足月妊娠胎膜早破孕妇的产褥感染发生率以及产后的出血量进行比较，P〉0.05，差异无统计学意义，具有可比性。同时未足月妊娠胎膜早破孕妇新生儿的分娩方式对新生儿预后无明显差异。结论未足月妊娠胎膜早破孕妇的孕周一旦＜35周，应及时的治疗，同时＞35周的未足月妊娠胎膜早破孕妇应积极的终止妊娠，未足月妊娠胎膜早破孕妇新生儿的分娩方式应对产科常规加以遵循。Objective To investigate the analysis without premature rupture of membranes the latency, pregnancy termination tim-ing and mode of delivery on maternal and perinatal prognosis. Methods review of 160 cases of（28~36）＋6 weeks of analysis of our hospital in 2012 April to 2013 year in August admitted to premature rupture of membranes pregnant women＇s medical records, ac-cording to gestational weeks divided into small gestational age group and gestational weeks, the small gestational weeks gestational weeks for （28~34）＋6 weeks of term pregnancy women with premature rupture of membranes for （34~36）＋6 weeks of pregnancy, full-term pregnant women with premature rupture of membranes. Results the small gestational weeks premature rupture of mem-branes maternal neonatal complications incidence rate was significantly higher than that of high gestational week full-term preg-nant women with premature rupture of membranes neonatal complications. Small gestational weeks premature rupture of mem-branes of pregnant women is greater than the incubation period of gestational weeks premature rupture of membranes pregnant la-tency, small gestational age group and gestational weeks of neonatal complication rate and pregnant women with premature rupture of membranes of incubation were compared, P〈0.05, there was statistical significance. Small gestational age group and gestational weeks premature rupture of membranes of pregnant women and the incidence of puerperal infection puerperal hemorrhage volume were compared, P〉0.05, no statistical significance, comparability. At the same time not full-term premature rupture of membranes pregnant women showed no difference in neonatal neonatal prognosis. Conclusion premature rupture of membranes of pregnant women pregnant weeks when less than 35 weeks, should be timely treatment, at the same time more than 35 weeks premature rup-ture of membranes pregnant women should actively the termination of pregnancy, preterm pregnancy with premature rupture of membranes of pregnant

关 键 词：未足月妊娠胎膜早破 孕妇 潜伏期 终止妊娠 分娩方式 母儿预后 

分 类 号：R71[医药卫生—妇产科学]