期待疗法对未足月胎膜早破的临床治疗效果及对宫内感染发生率的影响  

The effect of expectant therapy on the clinical treatment of premature rupture of membranes and the incidence of intrauterineinfection

作　　者：管丽莎 Guan Lisha(Department of Obstetrical,The Ninth People's Hospital of Suzhou,Soochow University,Suzhou 215200,China)

机构地区：[1]苏州大学附属苏州市第九人民医院产科,江苏苏州215200

出　　处：《实用妇科内分泌电子杂志》2023年第32期98-100,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨期待疗法应用于未足月胎膜早破治疗中的效果,及其对宫内感染发生率的影响。方法选取未足月胎膜早破患者100例为研究对象,采取随机信封法分为对照组及研究组,各50例。对照组采用常规治疗,研究组在此基础上采用期待疗法治疗。比对两组感染率、新生儿结局、治疗指标及治疗满意度。结果研究组宫内感染率及产褥期感染率均低于对照组,差异有统计学意义(P<0.05)。研究组胎儿窘迫、新生儿窒息及新生儿死亡发生率均低于对照组,差异有统计学意义(P<0.05)。研究组产后出血量少于对照组,保胎时间长于对照组,差异有统计学意义(P<0.05)。研究组治疗满意度为96.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。结论采用期待疗法治疗未足月胎膜早破,可显著降低患者宫内感染及产褥期感染的发生率,还可减少产后出血,提高患者治疗满意度,值得临床推广使用。Objective To investigate the effect of expectant therapy in the treatment of premature rupture of membranes and its influence on the incidence of intrauterine infection.Methods 1o0 cases of preterm premature rupture of membranes were selected as the study objects and were divided into a control group and a study group by random envelope method,with 50 cases in each group.The control group received conventional treatment,and the study group received expectant therapy on this basis.The infection rates,neonatal outcome,treatment indexes and treatment satisfaction were compared between the two groups.Results The intrauterine infection rate and puerperal infection rate in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidences of fetal distress,neonatal asphyxia and neonatal death in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The postpartum blood loss of the study group was less than that of the control group,and the fetal preservation time was longer than that of the control group,the differences were statistically significant(P<o.05).The treatment satisfaction in the study group was 96.00%,higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Expectant therapy for preterm premature rupture of membranes can significantly reduce the incidence of intrauterine infection and puerperal infection,reduce postpartum hemorrhage and improve patients'satisfaction with treatment,which is worthy of clinical promotion.

关 键 词：未足月胎膜早破 期待疗法 宫内感染 产后出血量 保胎时间 新生儿结局 

分 类 号：R714.433[医药卫生—妇产科学]