摘要
目的:观察晚期妊娠未足月胎膜早破孕妇临床处理方式以及对妊娠结局的影响。方法:2019年10月-2019年12月收治晚期妊娠未足月胎膜妊娠孕妇76例,根据孕妇妊娠时间不同分为两组;妊娠时间28~34周纳入A组;妊娠时间35~36周纳入B组。根据孕妇B超与临床表现进行针对性处理,对比两组妊娠结局。结果:A组妊娠延长时间高于B组,新生儿出生1 min的Apgar评分及出生体重均低于B组,差异均有统计学意义(P<0.05);A组低体重儿、宫内感染、新生儿窘迫综合征及死亡率均高于B组,差异有统计学意义(P<0.05)。结论:孕35周之前在控制宫腔感染且羊水量正常情况下,积极进行期待治疗,促使孕妇妊娠时间延长,以规避不良妊娠结局;孕35周及以后,根据孕妇实际情况考虑终止妊娠。
Objective:To observe the clinical management of preterm premature rupture of membranes in late pregnancy and its influence on pregnancy outcome.Methods:From October 2019 to December 2019,76 pregnant women with preterm fetal membrane pregnancy in late pregnancy were selected,they were divided into the two groups according to different pregnancy time.The gestation period of 28 to 34 weeks was included in the group A.The gestation period of 35 to 36 weeks was included in the group B.According to the pregnant women's B-ultrasound and clinical manifestations,the pregnancy outcomes were compared between the two groups.Results:The pregnancy prolongation time in the group A was higher than that in the group B,and the Apgar score at 1 min and birth weight were lower than those in the group B,the differences were statistically significant(P<0.05).The low birth weight infants,intrauterine infection,neonatal distress syndrome and mortality in the group A were higher than those in the group B,the differences were statistically significant(P<0.05).Conclusion:Before 35 weeks of gestation,under the condition of controlling the uterine cavity infection and normal amniotic fluid volume,actively carry out expectant treatment to promote the pregnancy time of pregnant women to avoid adverse pregnancy outcomes.At 35 weeks and beyond,pregnancy termination should be considered based on the actual situation of the pregnant woman.
作者
商慧
Shang Hui(Maternal and Child Health Hospital of Huangmei County,Hubei Huanggang 435500)
出处
《中国社区医师》
2021年第35期59-60,共2页
Chinese Community Doctors
关键词
晚期妊娠
未足月胎膜早破
妊娠结局
Late pregnancy
Preterm premature rupture of membranes
Pregnancy outcome
