期待疗法治疗未足月胎膜早破150例临床病例报道.docVIP

精品论文 参考文献 期待疗法治疗未足月胎膜早破150例临床病例报道 湖南省怀化市妇幼保健院 418100 【摘 要】目的 探究期待疗法治疗未足月胎膜早破的临床效果并进行评价。方法 选取本院收治的150例未足月胎膜早破患者，对其实施期待疗法进行治疗，根据孕周的时间进行分组，记录不同孕周时间的治疗效果并进行比较。结果 150例未足月胎膜早破患者经期待疗法治疗之后，对于在32~35周的孕妇通过期待疗法延长孕周后胎儿流失率、新生儿死亡率和重度窒息率均为0，新生儿呼吸窘迫综合征等并发症也明显减少。说明延长孕周，提高了新生儿的存活率及减少了早产新生儿并发症。在期待疗法期间患者出现了绒毛膜羊膜炎、羊水过少，产时发生了胎盘粘连、和产后出血等并发症，发生率最高的是羊水过少（21.33%），绒毛膜羊膜炎和产妇产后出血发生率较低（1.33%）。结论 1.在28~34孕周的未足月胎膜早破通过期待治疗，延长孕周，提高了新生儿的存活率及减少了早产新生儿并发症，从而得到更佳的妊娠结局。2.孕周越大治疗效果越好。 【关键词】未足月胎膜早破 期待疗法 临床病例 Abstract：Objective To explore the clinical effect of expectant treatment for premature rupture of membranes and to evaluate the clinical effect.Methods 150 cases of premature rupture of membranes treated in our hospital were treated with expectant treatment.According to the time of pregnancy，the effect of different gestational weeks was recorded and compared.Results 150 cases of premature rupture of membranes in patients with menstrual cycle after treatment，for the 32~35 weeks of pregnancy by expectant treatment to extend the fetal loss rate，neonatal mortality and severe asphyxia were 0，neonatal respiratory distress syndrome and other complications were also significantly reduced.To prolong the gestational age，improve the survival rate and reduce the complications of premature infants.During the expectant treatment，the patients had a low rate of amniotic fluid（21.33%），and the incidence of postpartum hemorrhage was lower（1.33%）.Conclusion 1 in the 28~34 gestational weeks of premature rupture of membranes by expectant treatment，the extension of pregnancy，improve the survival rate and reduce the complications of premature birth，so as to get a better pregnancy outcome.2 the greater the gestational age，the better the treatment effect. Key words：preterm premature rupture of membranes 妊娠20周到未满37周，胎膜在临产前发生破裂称为未足月胎膜早破，其发生率约为1％～2％[1]。可引起早产、羊水过少、脐带脱垂、胎儿窘迫、新生儿呼吸窘迫综合征等并发症，孕产妇及胎儿感染率、围产儿死亡率明显增加。未足月胎膜早破的主要风险是未发育成熟即出生，其他风险包括羊水（可能是胎儿）感染；脐带脱垂或压紧，以及胎盘早剥等。近年来，预防早产仍然是医学领域不得不重视的焦点，有研究显示胎儿在宫内发育时间的延长能够大大提高早产儿的存活率。