未足月妊娠胎膜早破并发早产108例临床分析.doc

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1、未足月妊娠胎膜早破并发早产108例临床分析［摘要］目的探讨未足月（也即孕周处于28周与34周之间）胎膜早破并发早产的相关处理方法及其应用效果。方法整群选取回顾性分析该院门诊2012年3月一2014年12月收治的108例未足月妊娠胎膜早破并发早产的临床资料，分析英胎膜早破的发病因素、分娩方式以及围产儿的基本情况等。结果阴道炎是最为常见的胎膜早破的诱因；胎膜早破的潜伏期是2h〜16d,平均是（6.2+1.3）d；两种分娩方式下，该组围产儿的Ap-gar评分相比，比较差异不具备统计学的意义（由于P>0.

2、05）；针对孕周处于28周与30周的孕产妇和孕周处于31周与34周的孕产妇，这两组围产儿并发症的发生率和死亡率相比，比较差异有统计学的意义（由于P<0.05）。结论要及时地借助于期待疗法对未足月妊娠胎膜早破并发早产患者进行治疗，在孕产妇破膜后，医务人员耍适时给予其适量的宫缩抑制剂、糖皮质激素和抗生素等药物，以使孕产妇的潜伏期能够有效延长到孕30周以上，从而可以有效地降低早产儿的死亡率。［关键词］未足月妊娠；胎膜早破；早产；临床处理［中图分类号］R714.2［文献标识码］A［文章编号］1674-07

3、42(2016)05(c)-0106-02［Abstract］ObjectiveTostudytherelevanttreatmentmethodandapplicationeffectofpretermprematureruptureofmembranecomplicatedbyprematuredelivery.(Pregnantweekwasbetween28weeksto34weeks)•MethodsTheclinicaldataof108casesofpatientswithprete

4、rmprematureruptureofmembranecomplicatedbyprematuredeliveryadmittedandtreatedinout-patientdepartmentofourhospitalwereretrospectivelyanalyzed,andthepathogenicfactorsofprematureruptureofmembranes,deliverymethodandgeneralconditionsofperinatalinfantswerean

5、alyzed.ResuItsVaginitiswasaverycommoncauseofprematureruptureofmembranes,theincubationperiodofprematureruptureofmembraneswas2h~16d,(6.2±1.3)donaverage；andthedifferenceintheAp-garscoreofperinatalinfantsbetweentwodeliverymethodshadnostatisticalsignifican

6、cebycomparison(P〉0.05)；thedifferencesintheincidencerateofcomplicationsofperinatalinfantsanddeathratebetweenthepregnantwomenwhosepregnantweekswerebetween28weeksand30weeksandthepregnantwomenwhosepregnantweekswerebetween31weeksand34weekshadstatisticalsig

7、nificancebycomparison,(allP<0.05).ConclusionWeshouldtimelytreatthepatientswithpretermprematureruptureofmembranecomplicatedbyprematuredeliverywiththeaidofexpectanttherapy,andthemedicalstaffshouldtimelygivethemmoderatetocolytic,glucocorticoidandantibiot

8、icstoensuretheincubationperiodofpregnantwomencanbeeffectivelyprolongedtoover30weeksthuseffectivelyreducingthedeathrateofprematurein仙iIs.[Keywords]Tncompletepregnancy；Prematureruptureofmembranes；Premature；Clinicaltreatment.在临床上，常见的妊娠期并发症中就包括未足月