摘要
目的：为了探讨胎膜早破合理的临床处理方法，减少早产引起的围产儿病率及死亡率。方法：对127例孕28周～37周由于胎膜早破引起的早产进行回顾性分析。结果：127例中，59例（46．4％）保胎治疗48h内分娩，1例产褥病，分娩新生儿144例，死亡8例，〈34周组围产儿死亡率及RDS发生率高于≥34周组，差异有显著性（P〈0．05），在〈34周组中，保胎≥48h后出现的新生儿死亡率及RDS发生率较〈48h者有明显下降（P〈0．05）。结论：对于PROM尤其是孕28周～34周的孕妇在预防感染的同时，积极保胎治疗促使胎儿肺成熟，增加出生体重，可以达到提高新生儿生存能力，降低围产儿病率及死亡率的目的。
Objective To seek for rational clinical treatment of PROM, reduce perinatal morbidity and mortality. Methords Retrospective analysis 127 pre-term deliveries due to PROM of gestational age 28～37 weeks. Results Among 127 cases, 59 cases（42.4 % ） delivered by 48 hours through conservative treatment. 1 pure peralism, neonates 144 cases, 8 neonates dead, comparing with perinatal mortality and RDS sick rate, there is a significance of difference between gestational age before 34 weeks and after 34 weeks （P〈0.05）. especially gestational age before 34 weeks,though conservative policy≥48 hours,neonatal mortality and RDS sick rate has descended significantly comparing with〈48 hours. Conclusion Concerned to PROM,especially gestational age of 28 weeks～34 weeks, we should prevent infection, at the same time,adopt active measures, accelerate fetal prodution of surfactant to colytie,increase fetal birthweight, can improve the neonatal survival.
出处
《实用医技杂志》
2006年第12期1995-1997,共3页
Journal of Practical Medical Techniques
关键词
胎膜早破
产前感染
死亡率
PROM
Prenatal period infection
Death rate
