蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
4期
482-484
,共3页
妊娠%未足月胎膜早破%围生儿结局
妊娠%未足月胎膜早破%圍生兒結跼
임신%미족월태막조파%위생인결국
pregnancy%preterm rupture of membrane%perinatal outcome
目的：：探讨孕28~36+6周胎膜早破发生的危险因素、分娩方式、围生儿结局及其诊治策略。方法：回顾性分析孕28~36+6周胎膜早破247例临床资料,并依据孕龄不同,分析28~31+6周( A组)、32~33+6周( B组)、34~36+6周( C组)各组危险因素、分娩方式、围生儿的结局。结果：A组阴道分娩率低于C组,而剖宫产率高于C组(P<0.05)；A组新生儿呼吸窘迫综合征和新生儿肺炎发生率均明显高于C组(P<0.01),A组新生儿窒息发生率明显高于B组和C组(P<0.01),而B组和C组新生儿呼吸窘迫综合征、新生儿窒息和新生儿肺炎发生率差异均无统计学意义(P>0.05)。3组围生儿死亡差异无统计学意义(P>0.05)。结论：对未足月胎膜早破及时诊断、干预、充分予以权衡,延长孕周与围生儿结局的个性化评估对提高产科质量有重要的意义。
目的：：探討孕28~36+6週胎膜早破髮生的危險因素、分娩方式、圍生兒結跼及其診治策略。方法：迴顧性分析孕28~36+6週胎膜早破247例臨床資料,併依據孕齡不同,分析28~31+6週( A組)、32~33+6週( B組)、34~36+6週( C組)各組危險因素、分娩方式、圍生兒的結跼。結果：A組陰道分娩率低于C組,而剖宮產率高于C組(P<0.05)；A組新生兒呼吸窘迫綜閤徵和新生兒肺炎髮生率均明顯高于C組(P<0.01),A組新生兒窒息髮生率明顯高于B組和C組(P<0.01),而B組和C組新生兒呼吸窘迫綜閤徵、新生兒窒息和新生兒肺炎髮生率差異均無統計學意義(P>0.05)。3組圍生兒死亡差異無統計學意義(P>0.05)。結論：對未足月胎膜早破及時診斷、榦預、充分予以權衡,延長孕週與圍生兒結跼的箇性化評估對提高產科質量有重要的意義。
목적：：탐토잉28~36+6주태막조파발생적위험인소、분면방식、위생인결국급기진치책략。방법：회고성분석잉28~36+6주태막조파247례림상자료,병의거잉령불동,분석28~31+6주( A조)、32~33+6주( B조)、34~36+6주( C조)각조위험인소、분면방식、위생인적결국。결과：A조음도분면솔저우C조,이부궁산솔고우C조(P<0.05)；A조신생인호흡군박종합정화신생인폐염발생솔균명현고우C조(P<0.01),A조신생인질식발생솔명현고우B조화C조(P<0.01),이B조화C조신생인호흡군박종합정、신생인질식화신생인폐염발생솔차이균무통계학의의(P>0.05)。3조위생인사망차이무통계학의의(P>0.05)。결론：대미족월태막조파급시진단、간예、충분여이권형,연장잉주여위생인결국적개성화평고대제고산과질량유중요적의의。
Objective:To investigate the risk factors,mode of delivery,perinatal outcome,diagnosis and treatment of premature rupture of membrane in pregnancy for 28 to 36 +6 weeks. Methods:The clinical data of 247 cases with pregnancy for 28 to 36 +6 weeks were retrospectively analyzed. The risk factors,mode of delivery and perinatal outcome in group A( pregnancy for 28 to 31 +6 weeks) ,group B (pregnancy for 32 to 33 +6 weeks) and group C(pregnancy for 34 to 36 +6 weeks) were analyzed. Results:The vaginal delivery and cesarean section rates in group A were lower and higher than those in group C,respectively(P<0. 05). The incidences of neonatal respiratory distress syndrome and neonatal pneumonia in group A were significantly higher than those in group C(P <0. 01). The incidence of neonatal asphyxia in group A was significantly higher than that in group B and group C(P<0. 01),the differences of the neonatal respiratory distress syndrome,neonatal asphyxia and neonatal pneumonia between group B and group C were not statistically significant(P>0. 05). The differences of perinatal death between 3 groups were not statistically significant(P>0. 05). Conclusions:The timely diagnosis and intervention of preterm premature rupture of membrane, extending the pregnancy period and personalized assessment of perinatal outcome play an important role in improving the quality of obstetrics.
