74例近足月胎膜早破的临床分析  

Clinical analysis of 74 cases of near full-term infants with premature rupture of membranes

作　　者：黄键宁 梁嘉欣 邱伟航 HUANG Jianning;LIANG Jiaxin;QIU Weihang(Department of Obstetrics,Zengcheng District People’s Hospital,Guangzhou 511300,China;Department of Laboratory,Zengcheng District People’s Hospital,Guangzhou 511300,China)

机构地区：[1]广州市增城区人民医院产科,广东广州511300 [2]广州市增城区人民医院检验科,广东广州511300

出　　处：《中国医药科学》2020年第1期153-156,共4页China Medicine And Pharmacy

摘　　要：目的探讨近足月胎膜早破立即分娩与保胎治疗对母婴结局的影响。方法选取2018年1~12月我院收治近足月胎膜早破孕妇74例,按不同治疗方案分为A组和B组,每组37例。A组行引产或剖宫产以终止妊娠,B组给予保胎治疗。比较两组分娩方式、分娩期并发症及新生儿不良结局。结果两组剖宫产及阴道助产的发生率比较,差异无统计学意义(P>0.05)。两组产后出血、胎盘早剥及产褥感染的发生率比较,差异无统计学意义(P>0.05)。两组新生儿败血症的发生率比较,差异无统计学意义(P>0.05);B组肺透明膜病、新生儿黄疸、新生儿窒息、新生儿肺炎及新生儿低血糖症的发生率显著低于A组,差异有统计学意义(P<0.05)。结论对于未临产且无保胎治疗禁忌证的近足月胎膜早破,保胎治疗较立即引产对母婴结局产生更有利影响。Objective To explore the effects of immediate delivery and preventing miscarriage treatment on maternal and infant outcomes in near full-term infants with premature rupture of membranes.Methods 74 pregnant women who had near full-term infants with premature rupture of membranes and admitted to our hospital from January to December 2018 were selected.According to different treatment regimens,they were divided into group A and group B,with 37 cases in each group.Pregnant women group A underwent induced labor or cesarean section to terminate the pregnancy while group B was given preventing miscarriage treatment.Delivery modes,delivery complications and neonatal adverse outcomes were compared between the two groups.Results There was no statistically significant difference in the incidence of cesarean section and vaginal midwifery between the two groups(P>0.05).There was no statistically significant difference in the incidence of postpartum hemorrhage,placental abruption and puerperal infection between the two groups(P>0.05).There was no statistically significant difference in the incidence of neonatal sepsis between the two groups(P>0.05).The incidence of hyaline membrane disease,neonatal jaundice,neonatal asphyxia,neonatal pneumonia and neonatal hypoglycemia were significantly lower in group B than in group A,and the differences were statistically significant(P<0.05).Conclusion For near full-term premature rupture of membranes that is not in labor and has no contraindications for preventing miscarriage treatment,preventing miscarriage treatment has a more favorable effect on maternal and infant outcomes than induction of labor immediately.

关 键 词：近足月儿 胎膜早破 引产 剖宫产 期待治疗 新生儿 

分 类 号：R714.433[医药卫生—妇产科学]