未足月胎膜早破不同引产时机(34周和35周)对妊娠结局的影响  

Preterm Premature Rupture of Membranes Affecting the Outcome of Pregnancy at Different Time(34 Weeks and 35 Weeks)

作　　者：马卉[1] MA Hui(Department of Obstetrics and Gynecology,Chengdu Women＇s Hospital,Chengdu,Siehuan Province,610051 China)

机构地区：[1]成都市成华区妇幼保健院妇产科.四川成都610051

出　　处：《系统医学》2018年第9期156-157,166,共3页Systems Medicine

摘　　要：目的探讨并研究未足月胎膜早破不同引产孕周(34周和35周)对妊娠结局的影响。方法回顾性分析该院于2015年3月—2017年3月收取的80例胎膜早破(孕周在33~34周)早产胎膜早破孕妇,孕周达34周或期待治疗至34周孕妇设为A组40例、孕周期待治疗至35周引产的孕妇设为B组40例。比较2组孕产妇在住院过程中产前破膜时间、宫内感染、产褥感染、剖宫产率及新生儿窒息、新生儿呼吸窘迫综合征、新生儿感染情况,进行观察并记录。结果 A组产前破膜时间(3 d±4.56 h)明显低于B组(10 d±5.02 h),差异有统计学意义(t=20.74,P<0.01)。A组产前宫内感染发生率(2.50%)、产褥感染发生率(2.50%)和剖宫产率(20.00%)明显低于B组7.50%、7.50%和30.00%,差异有统计学意义(13.58、13.85、30.37,P<0.01)。A组新生儿宫内窘迫发生率(2.50%)、新生儿窒息发生率(2.50%)和新生儿感染发生率(4.00%)明显低于B组7.50%、7.50%和12.50%,差异有统计学意义(χ~2分别为14.42、9.74、27.52,P<0.01)。结论期待至妊娠35周引产相较于34周引产发生胎儿窘迫、新生儿窒息、新生儿感染情况有所增加,对围产儿结局有不良影响。Objective This paper tries to investigate and study the effect of premature fetal membrane rupture on the outcome of pregnancy at different gestational weeks （34 weeks and 35 weeks）. Methods Retrospective analysis of 80 cases of preterm premature rupture of membranes （pregnancy week 33-34 weeks） received by the hospital from March 2015 to March 2017, gestational age of 34 weeks or expectant treatment to 34 weeks for pregnant women with 40 pa- tients in group A and 31 weeks of gestational week expectant treatment and induction of labour in the 35th week, 40 patients in group B were enrolled. The prenatal rupture time, intrauterine infection, puerperal infection, cesarean sec- tion and neonatal asphyxia, neonatal respiratory distress syndrome, and neonatal infection in the two groups of pregnant women were observed and recorded. Results The pre-membrane rupture time in group A （3 d±4.56 h） was significantly lower than that in group B （10 d ± 5.02 h）, t=20.74, P〈0.01, and the difference was statistically significant. The inci- dence of prenatal intrauterine infection （2.50%）, puerperal infection （2.50%） and cesarean section （20.00%） in group A were significantly lower than those in group B （7.50%, 7.50%, and 30.00%）, the difference was statistically significant （X2=13.58, 13.85,30.37, P〈0.01）. The incidence of intrauterine distress （2.50%）, the incidence of neonatal asphyxia （2.50%） and the incidence of neonatal infection （4.00%） in group A were significantly lower than those in group B （7.50%, 7.50%, and 12.50%）. the difference was statistically significant （X2=14.42, 9.74,27.52, P〈0.01）. Conclusion It is expected that fetal distress, neonatal asphyxia, and neonatal infection will increase during labor induction at the 35th week of gestation compared with 34 weeks of labor induction, which will have an adverse effect on the outcome of peri- natal infants.

关 键 词：未足月 胎膜早破 引产时机 妊娠结局 影响 

分 类 号：R614.4[医药卫生—麻醉学]