保胎治疗对于妊娠34周以下胎膜早破临床干预效果观察  

Clinical Intervention Observation of Tocolysis Treatment in Premature Rupture of Membrane Less Than 34 Weeks

作　　者：徐爱云 

机构地区：[1]山东省济宁市梁山县人民医院产一科,山东济宁272600

出　　处：《中国卫生标准管理》2017年第20期68-69,共2页China Health Standard Management

摘　　要：目的探讨保胎治疗对于妊娠34周以下胎膜早破临床干预效果。方法选取2015年3月—2017年2月的90例未足月的胎膜早破孕妇作为观察对象,其中34周以下35例作为观察组,34周以上(含34周)55例作为对照组,对于34周以下出现胎膜早破者采用积极的保胎措施,观察两组并发症情况。结果观察组孕妇出现新生儿窒息、肺透明膜病、新生儿肺炎及新生儿死亡率高于对照组孕妇,差异有统计学意义(P<0.05),两组孕妇出现宫内感染率相当,差异无统计学意义(P>0.05)。结论对于孕周在34周以下孕妇应该尽可能延长孕周,孕周的延长有利于胎肺发育成熟,并且能够有效的减少新生儿并发症的发生及降低死亡率,临床效果满意。Objective To investigate the clinical intervention observation of tocolysis treatment in premature rupture of membrane for the following 34 weeks. Methods 90 cases of preterm premature rupture of membranes during the early break of pregnant women as the observation objects from March 2015 to February 2017, which following 34 weeks following 35 cases as the observation group, more than 34 weeks （including 34 weeks） and 55 cases as the control group, 34 weeks following emergence of premature rupture of membranes by tocolytic positive measures, observation of complications in two groups the situation. Results The observation group maternal neonatal asphyxia, hyaline membrane disease, risk of neonatal pneumonia and neonatal death in pregnant women was significantly higher than the control group, there was significant difference （P 〈 0.05）, two groups of pregnant women, the probability of intrauterine infection, no significant difference （P 〉 0.05）. Conclusion The gestational age should as far as possible in the 34 weeks following the prolongation of gestation of pregnant women, pregnancy prolongation is conducive to the development of fetal lung maturation, and can effectively reduce the incidence of neonatal complications and reduce the mortality rate and satisfactory clinical effect.

关 键 词：保胎治疗 妊娠 34周 胎膜早破 临床干预 

分 类 号：R714[医药卫生—妇产科学]