不同孕龄未足月胎膜早破期待治疗对妊娠结局的影响观察  

Effect of expectant treatment on pregnancy outcomes in preterm premature rupture of membranes at different gestational ages influence

作　　者：商慧[1] SHANG Hui(Department of Obstetrics,Maternal and Child Health Hospital,Huangmei County,Huanggang,Hubei,435500,China)

机构地区：[1]黄梅县妇幼保健院产科,湖北黄冈435500

出　　处：《当代医学》2022年第21期24-27,共4页Contemporary Medicine

摘　　要：目的 探究不同孕龄未足月胎膜早破(PPROM)期待治疗对妊娠结局的影响。方法 选取2019年8月至2020年12月本院接收的120例PPROM患者作为研究对象,按不同孕龄分为A组(孕28~31周)、B组(孕32~33周)、C组(孕34~36周),每组40例。3组均实施期待治疗,比较3组妊娠结局、临床指标、新生儿并发症发生率。结果 B组、C组不良妊娠结局发生率均低于A组,差异有统计学意义(P<0.05)。B组、C组新生儿并发症发生率均低于A组,差异有统计学意义(P<0.05)。B组、C组延长妊娠时间均短于A组,C组短于B组;B组、C组出血量均少于A组,C组少于B组;B组、C组出生后1 min Apgar评分均高于A组,C组高于B组;B组、C组出生后体质量均大于A组,且C组大于B组;C组期待治疗时间短于A组、B组,且B组长于A组,差异均有统计学意义(P<0.05)。结论 不同孕龄PPROM患者实施期待治疗效果不同,孕龄<28周效果相对较差,孕32~36周者效果理想,可改善妊娠结局,降低新生儿并发症发生率,值得临床推广应用。Objective To investigate the effect of expectant treatment of preterm premature rupture of membranes(PPROM) on pregnancy outcomes at different gestational ages. Methods 120 patients with PPROM received in our hospital from August 2019 to December 2020 were selected as the research subjects, and they were divided into group A(28-31 weeks of pregnancy), group B(32-33 weeks of pregnancy) and group C(34-36weeks of pregnancy) according to different gestational ages, with 40 cases in each group. Expectant treatment was implemented in all 3 groups, and pregnancy outcomes, clinical indicators, and neonatal complication rates were compared among the 3 groups. Results The incidences of adverse pregnancy outcomes in group B and group C were lower than that in group A, and the difference was statistically significant(P<0.05). The incidence of neonatal complications in group B and group C was lower than that in group A, and the difference was statistically significant(P<0.05).The prolonged pregnancy time of group B and group C was shorter than that of group A, and that of group C was shorter than group B;the bleeding volume of group B and group C was less than that of group A, and that of group C was less than group B;the Apgar score at 1 min after birth in group A was higher than that in groups B and group C, group C was higher than group B;the postnatal body weight of group B and group C were larger than that of group A, and group C was greater than group B;the expected treatment time of group C was shorter than that of group A and group B, and group B was longer than that of group A, the differences were statistically significant(P<0.05). Conclusion The effect of expectant treatment for PPROM patients with different gestational weeks is different, the effect of gestational age<28 weeks is relatively poor, and the effect is ideal for 32-36 weeks of gestation, which can improve pregnancy outcomes and reduce the incidence of neonatal complications, which is worthy of promotion.

关 键 词：不同孕龄 未足月胎膜早破 期待治疗 妊娠结局 

分 类 号：R714.433[医药卫生—妇产科学]