摘要
目的探讨未足月胎膜旱破（PPROM）的发生原因，不同孕周的临床处理及对分娩方式及围生儿的影响。方法对威海市立医院2007年1月至2010年12月问产科分娩的206例PPROM患者的临床资料进行回顾性分析，寻找发病原因，比较不同孕周分娩方式及妊娠结局的差异。结果PPROM相关因素的构成比中流产、引产史最高，占35．9％；其次为生殖道感染，占22．8％。在分娩的206例患者中，孕32—34^＋6周组的剖宫产率明显高于孕28—31^＋6周组和孕35—36^＋6周组（P〈0．05），而孕28—31^＋6周组和孕35—36^＋6周组比较差异无统计学意义（P〉0．05）。妊娠结局的比较：孕28—31^＋6周组与孕32—34^＋6周组比较差异无统计学意义（P〉0．05），而孕28—31^＋6周组、孕32～34^＋6周组与孕35～36^＋6周组比较差异有统计学意义（P〈0．05）。结论流产、引产史及感染是PPROM发生的主要原因，剖宫产并不是降低围生儿不良结局的最佳分娩方式，围生儿结局与孕周密切相关。
Objective To investigate the reason of the preterm premature rupture of membranes （PPROM）, the clinical treatment in different gestational age, the influence to the mode of delivery and the perinatal infant. Methods The clinical data of 206 patients with PPROM who labored in our hospital from January 2007 to December 2010 were retrospectively analyzed, looking for causes, compare the outcome of pregnant and the mode of delivery among different gestational age. Results In the proportions of the relevant factors of PPROM abortion history was the highest （35.9%）, followed by reproductive tract infections （22. 8% ）. In the 206 patients, the cesarean section rate of the 32-34 ＋6 weeks of pregnant was significantly higher than the 28-31 ＋6 weeks and the 35-36 ＋6 weeks （P 〈 0. 05 ） , while there was no significant difference between the 28-31 ＋6 weeks and the 35-36＋6 weeks pregnant （P 〉 0. 05）. The outcome of pregnant was no significant difference between the 28-31 ＋6 weeks and the 32-34 ＋6 weeks （P 〉 0. 05 ）, but when they compared with 35-36 ＋6 weeks, the difference was significant （P 〈 0. 05 ）. Conclusions Abortion history, infection is the main reason of PPROM, cesarean section is not the best mode of delivery to reduce perinatal adverse outcomes, perinatal outcome is closely related with gestational age.
出处
《中国实用医刊》
2013年第3期58-60,共3页
Chinese Journal of Practical Medicine
关键词
未足月胎膜早破
相关因素
分娩方式
妊娠结局
Preterm premature rupture of membranes
Relevant factors
Mode of delivery
Pregnancy outcome
