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胎膜早破的妊娠结局分析
http://www.100md.com 《河北医学杂志》 2006年第7期
胎膜早破;,妊娠结局;,产前检查,,胎膜早破;,妊娠结局;,产前检查,摘要,关键词,1临床资料,2讨论,参考文献
     摘要:目的:通过对我院 449例胎膜早破(PROM)妊娠结局的分析,以期提高加强围产期保健力度,降低围产儿病死率。方法:选择2004年1月1日至12月31日期间我院住院孕妇中胎膜早破449例,对其产生的妊娠结局如分娩方式、围产儿病死率、胎儿窘迫率、新生儿窒息率、产褥病率等进行分析。结果:胎膜早破中发生早产64例,发生率为14.2 %,顺产272例,占60.5%,剖宫产175例,占38.9 %,阴道助产2 例,占0.4 %,围产儿病死率2‰,胎儿窘迫10.5 %,新生儿窒息4.4 %,PROM组产前感染率为2.4 %,大于对照组,PROM产后子宫内膜炎发生率为2.2 %,高于对照组,PROM的潜伏期在24小时内者405例,占90.2 %,72h内者39例,占8.6 %,72h后者5例,占1.1%。结论:胎膜早破的妊娠结局可使胎儿窘迫升高,围产儿病死率升高,新生儿并发症增加,应重视产前检查。

     关键词: 胎膜早破; 妊娠结局; 产前检查

    The Analysis of Pregnancy Outcome in Patients with Premature Rupture of Membranes

    HUANG Ai-Ping, LAI Huang, ZEN Zi-juang

    (The Women and Children Health Care Hospital of Nanhai Distric, Guangdong Foshan 528200, China)

    Abstract: Objective: To investigate the pregnancy outcome in patients with premature rupture of membranes (PROM). Method: 449 pregnancy patients with premature rupture of membranes in our hospital from Jan. 1 2004 to Dec. 31 2004 were analyzed in the study. Result: The datas showed that the rate of immature labor in patients with premature rupture of membranes were 14.2 % which was higher than that of normal control. Conclusion: The patients with premature rupture of membranes have high risk on pregnancy outcome such as immature labor. ......

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