中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
16期
126-128
,共3页
未足月胎膜早破%双胎%临床观察
未足月胎膜早破%雙胎%臨床觀察
미족월태막조파%쌍태%림상관찰
Preterm premature rupture of membranes%Twins%Clinical observation
目的：观察未足月双胎胎膜早破的临床特点和妊娠结局。方法：将40例未足月双胎胎膜早破患者设为治疗组，选取同期40例未足月单胎胎膜早破患者为对照组，对两组患者胎膜早破发生时间、并发症发生率和新生儿预后进行对比分析。结果：治疗组患者贫血、妊娠期高血压疾病、胎儿生长受限、产后出血、胎膜早破时间、胎膜破前宫缩发生率、破膜至终止妊娠时间、终止妊娠孕周、促胎肺成熟时间≥48 h、使用宫缩抑制剂、早产、剖宫产、新生儿体重、新生儿窒息和新生儿呼吸窘迫综合征同对照组患者比较，差异具有统计学意义（P<0.05）。结论：双胎为导致患者出现胎膜早破的主要因素，临床处理中较为棘手、出现早产率较高和新生儿预后困难，应通过科学有效的措施预防未足月双胎胎膜早破。
目的：觀察未足月雙胎胎膜早破的臨床特點和妊娠結跼。方法：將40例未足月雙胎胎膜早破患者設為治療組，選取同期40例未足月單胎胎膜早破患者為對照組，對兩組患者胎膜早破髮生時間、併髮癥髮生率和新生兒預後進行對比分析。結果：治療組患者貧血、妊娠期高血壓疾病、胎兒生長受限、產後齣血、胎膜早破時間、胎膜破前宮縮髮生率、破膜至終止妊娠時間、終止妊娠孕週、促胎肺成熟時間≥48 h、使用宮縮抑製劑、早產、剖宮產、新生兒體重、新生兒窒息和新生兒呼吸窘迫綜閤徵同對照組患者比較，差異具有統計學意義（P<0.05）。結論：雙胎為導緻患者齣現胎膜早破的主要因素，臨床處理中較為棘手、齣現早產率較高和新生兒預後睏難，應通過科學有效的措施預防未足月雙胎胎膜早破。
목적：관찰미족월쌍태태막조파적림상특점화임신결국。방법：장40례미족월쌍태태막조파환자설위치료조，선취동기40례미족월단태태막조파환자위대조조，대량조환자태막조파발생시간、병발증발생솔화신생인예후진행대비분석。결과：치료조환자빈혈、임신기고혈압질병、태인생장수한、산후출혈、태막조파시간、태막파전궁축발생솔、파막지종지임신시간、종지임신잉주、촉태폐성숙시간≥48 h、사용궁축억제제、조산、부궁산、신생인체중、신생인질식화신생인호흡군박종합정동대조조환자비교，차이구유통계학의의（P<0.05）。결론：쌍태위도치환자출현태막조파적주요인소，림상처리중교위극수、출현조산솔교고화신생인예후곤난，응통과과학유효적조시예방미족월쌍태태막조파。
Objective:To observe the effect of preterm twins premature rupture of the clinical features and outcome of pregnancy.Method:40 cases of preterm twins in patients with premature rupture of membranes were selected as the treatment group,40 cases of preterm singleton in premature rupture of membrane as the control group,the two groups of patients with premature rupture of membranes,occurrence time,complication rate and neonatal prognosis were compared and analyzed. Result:In the treatment group,patients with anemia syndrome,fetal growth restriction,postpartum hemorrhage,premature rupture of fetal membranes,premature rupture of membranes before break time contractions rate,rupture of membranes to the time of termination of pregnancy,termination of pregnancy gestational age,fetal lung maturation time≥48 h,use of tocolytic rate,premature delivery rate,cesarean delivery,neonatal weight,neonatal asphyxia and neonatal respiratory distress syndrome compared with control group,the difference was statistically significant(P<0.05).Conclusion:The twins as the main factors leading to the premature rupture of membranes appear patients,clinical treatment more difficult,higher rate of preterm delivery and neonatal prognosis difficult,through scientific measures to prevent effective preterm twins premature rupture of membranes.
