摘要
目的：比较不同孕周未足月胎膜早破不同的处理方式对新生儿结局的影响。方法对2014－01～2014－08间212例未足月胎膜早破的临床资料进行回顾性分析。结果新生儿窒息、肺炎、呼吸窘迫综合征及死亡的发生率A1组分别为16.17％、30.95％、21.43％、0；A2组分别为47.83％、73.91％、56.62％、4.35％；B组分别为6.12％、23.13％、2.04％、0。 A组与B组两组间差异具有统计学显著意义（ P＜0.05），其中A1组与A2组两组差异有统计学显著意义（ P＜0.05）。结论28～33＋6孕周的胎膜早破应采取期待疗法以减少新生儿并发症的发生，34孕周的胎膜早破可积极终止妊娠。
Objective To compare different approaches to the influence of neonatal outcome on preterm premature rupture of the mem -brane of different gestational weeks .Methods 212 cases with preterm premature rupture of membranes from January to August , 2014 were collected to be retrospectively analyzed .Results The incidence of neonatal asphyxia , neonatal pneumonia ,neonatal respiratory distress syn-drome and mortality of A1 who was in expectation treatment group were 16.17%, 30.95%, 21.43%and 0;The incidence of neonatal as-phyxia, neonatal pneumonia ,neonatal respiratory distress syndrome and mortality in A 2 in the no expectation treatment group were 47.83%, 73.91%, 56.62%and 4.35%;Those in B group were 6.12%, 23.13%, 2.04%and 0.The difference between A and B was statistical-ly significant （P〈0.05）;The difference between A1 and A2 was statistically significant （P〈0.05）.Conclusion A pregnant woman of PPROM in 28～33＋6 gestational age should take expectant treatment in order to reduce the incidence of neonatal complications , and a pregnant woman of PPROM in 34 weeks of gestation age can terminate pregnancy actively .
出处
《黑龙江医学》
2015年第1期54-55,共2页
Heilongjiang Medical Journal
关键词
未足月胎膜早破
新生儿结局
期待治疗
Preterm premature rupture of the membrane
Neonatal outcome
Expectation treatment
