摘要
目的分析不同孕周PPROM期待治疗后的母儿结局,探讨小孕龄PPROM期待治疗的可行性。方法回顾性分析2014年1月—2015年12月我院住院的24~33+6周PPROM 335例。据破膜时孕周分为A组24~27+6周;B组28~31^(+6)周;C组32~33^(+6)周,比较各组期待治疗后的妊娠结局。结果 (1)A、B、C组期待治疗的中位时间分别为26.95天、5.95天和3.01天,分娩孕周分别为(31.44±2.87)周、(31.54±1.44)周和(33.58±0.68)周,三组数据比较,差异具有统计学意义(P<0.05)。(2)三组孕产妇并发症比较,差异无统计学意义(P>0.05)。(3)C组新生儿体质量高于A、B两组,新生儿窒息、肺部感染、RDS、IVH发生率均低于A、B两组(P<0.05),但A、B组各项围产儿结局比较,差异无统计学意义(P>0.05)。结论对<32周PPROM患者,采取恰当的期待治疗未增加不良妊娠结局。
Objective Analysis of the maternal and child outcomes after the treatment of PPROM with different gestational weeks and the feasibility of PPROM expectant treatment in small gestational age. Methods Retrospective analysis of 335 cases of PPROM in 24 - 33＋6 weeks from January 2014 to December 2015. According to rupture in the gestational weeks were divided into group A 24 - 27＋6 weeks, group B 28 - 31＋6 week; group C 32-33＋6week, comparing the different groups expecting the difference of pregnancy outcomes after treatment. Results （1） A、 B、 C groups of expectant treatment of the median time is 26.95 days、 5.95 days and 3.01 days, the childbirth week respectively （31.44 ± 2.87） weeks, （31.54 ± 1.44）weeks and （33.58 ± 0.68） weeks, there were significant differences （P 〈 0.05）. （2） There was no significant difference between three groups in maternal complications （P 〉 0.05）. （3） The neonatal weight of C group was higher than that of group A and B, the incidence of neonatal asphyxia, pulmonary infection, RDS and IVH in group C were lower than those in group A and B （P 〈 0.05）. However, there was no significant difference between the A and B groups in perinatal outcome （P 〉 0.05）. Conclusion For patients with PRROM 〈 32 weeks of gestation, taking appropriate expectation of treatment did not increase the outcome of adverse pregnancy.
作者
方专集
林元
余爱丽
FANG Zhuanji LIN Yuan YU Aili(Department of Obstetrics and Gynecology, Fujian Provincal Maternity and Children＇s Hospital, Fuzhou Fujian 350001, China)
出处
《中国卫生标准管理》
2017年第9期34-36,共3页
China Health Standard Management
关键词
未足月胎膜早破
期待治疗
妊娠结局
premature rupture of membranes
expectation of treatment
pregnancy outcome
