84例早产并胎膜早破因素分析及防治.docVIP

84例早产并胎膜早破因素分析及防治 　【关键词】 早产 摘 要：目的：探讨早产胎膜早破（preterm premature rupture of membranes，PPROM）发生的危险因素及其防治。方法：回顾性分析84例早产并胎膜早破的发生原因及对母婴的影响，并对不同孕龄组28～34周，34～37周二组作分析比较。 结果：感染、臀位、多胎、早产流产史及妊高征占据PPROM病因的前五位。不同孕周的二组早产对母亲影响无显著差别；在新生儿死亡、新生儿呼吸窘迫综合征（RDS）及低体重儿发生率有显著差别（P0.01）。结论：早产并胎膜早破是新生儿发病和死亡的主要原因。胎龄越小、新生儿体重越轻、其死亡率越高。提高早产并胎膜早破的预防、诊断及治疗水平，对围产医学质量的，有着十分重要的意义。 关键词： 早 产； 胎膜早破； 危险因素； 母 婴 Analysis the Factors of 84 Cases Premature Delivery amp; Preterm Premature Rupture of Membranes CHEN Xiu-hua, CHEN Wen (The Second Peoples Hospital of Shantou, Guangdong Shantou 515011, China) Abstract: Objective: To explore the risk factors and prevention and cure of premature delivery and preterm premature rupture of membranes (PPROM). Method: Looking back upon the causes of 84 cases of premature delivery amp; PPROM and its influence to infants and mothers. And compare two different case groups of 28~34 weeks of gestation and 34+~37 weeks of gestation. Result: The first five pathogenic factors of PPROM are infection, breech presentation, multiplets, premature delivery and miscarriage, and the syndrome of pregnancy hypertension. The two case groups of premature delivery have inconspicuous difference in the influence to women, but have remarkable difference in incidence rate of death of newborn, respiratory distress syndrome (RDS) of newborn, and low birth weight infant (P＜0.01). Conclusion: Premature delivery amp; PPROM are the main causes of onset and death of newborn. The younger of infant and the lighter of birth weight bring the higher of death rate. To raise the levels of prevention, diagnosis and treatment of premature delivery amp; PPROM are significant to the advance of perinatal medicine. Key words: Premature delivery; Preterm premature rupture of membranes (PPROM); Risk factor; Infants and mothers 早产一直是围产医学研究的主要课题，早产和胎膜早破经常同时存在，但胎膜早破使早产的处理变得复杂化，且早产合并胎膜早破的围产儿病率和病死率相当高。对其病因和预防的研究已取得了新的进展［1］。本文着重探讨发生早产并胎膜早破的因素和对母婴的影响及防治，以期加强对早产合并胎膜早破认识，降低其发生率，减少对母婴的危害。 1 资料与方法 1.1 一般资料：早产合并胎膜早破是指孕满28周