摘要
目的:探讨未足月胎膜早破的病因及相关因素,制定预防措施,降低围产儿病率和病死率。方法:回顾性分析我院未足月妊娠胎膜早破127例的临床资料,对胎膜早破的原因及不同孕周胎膜早破的早产儿分娩发生的并发症进行对比分析。结果:胎膜早破可能与感染、人工流产史、中期引产、胎先露高浮、营养不良等因素有关,不同孕周胎膜早破发生的早产其围产儿各种疾病的发生率和病死率差异显著,孕周>34周者其围产儿疾病发生率明显降低而存活率明显增加。结论:加强对上述高危妊娠者的监测和管理可降低早产发生率。
Objective: To investigate the relevant factors and causes of the preterm premature rupture of membranes (PPROM), and take preventive measures to reduce the disease and mortality rates of perinatal infants. Methods: The clinical data of 127 cases of PPROM were analyzed retrorespectively, the causes of premature rupture of membrane (PROM) and the premature delivery complications at different gestational weeks of PROM were compared and analyzed. Results: PPROM may be related with infection, abortion history, medium induced labor history, fetal presentating high floating and malnutrition factors. There were significant differences of the incidences of PROM at different gestational weeks, the incidence and moratility rates of all kinds of neonatal diseases. The incidence rate of diseases in neonates longer than 34 gestational weeks got lower significantly, while the survival rate increased remarkably. Conclusion: The monitoring and treatment of the high risk pregnancies can lower the incidence of premature labor.
出处
《华夏医学》
CAS
2012年第6期845-848,共4页
Acta Medicinae Sinica
关键词
未足月胎膜早破
病因
相关因素
预防
preterm premature rupture of membrane (PPROM)
cause of the disease
relevant factors
prevention