胎膜早破127例临床分析
胎膜早破；产前感染；死亡率,,],胎膜早破；产前感染；死亡率,1资料与方法,2结果,3讨论,参考文献：
[摘要] 目的：为了探讨胎膜早破合理的临床处理方法，减少早产引起的围产儿病率及死亡率。方法：对127例孕28周~37周由于胎膜早破引起的早产进行回顾性分析。结果：127例中，59例(46.4%)保胎治疗48 h内分娩，1例产褥病，分娩新生儿144例，死亡8例，<34周组围产儿死亡率及RDS发生率高于≥34周组，差异有显著性(P<0.05)，在<34周组中，保胎≥48 h后出现的新生儿死亡率及RDS发生率较<48 h者有明显下降(P<0.05)。结论：对于PROM尤其是孕28周~34周的孕妇在预防感染的同时，积极保胎治疗促使胎儿肺成熟，增加出生体重，可以达到提高新生儿生存能力，降低围产儿病率及死亡率的目的。[关键词] 胎膜早破；产前感染；死亡率
Clinic Analysis of PROM 127 Cases
LI Fang, HUANG Yuying, MIN Xin
(1.Xi'an Geneva Cross Hospital, Xi'an, Shaanxi 710054, China;
2.China Northwest Company Outpatient Department of Eastern Ariation, Xi'an， Shaanxi 710082, China)
Abstract:Objective To seek for rational clinical treatment of PROM,reduce perinatal morbidity and mortality.Methords Retrospective analysis 127 preterm deliveries due to PROM of gestational age 28~37 weeks.Results Among 127 cases,59 cases(42.4%) delivered by 48 hours through conservative treatment.1 pure peralism,neonates 144 cases,8 neonates dead,comparing with perinatal mortality and RDS sick rate,there is a significance of difference between gestational age before 34 weeks and after 34 weeks (P<0.05).especially gestational age before 34 weeks,though conservative policy≥ 48 hours,neonatal mortality and RDS sick rate has descended significantly comparing with<48 hours.Conclusion Concerned to PROM,especially gestational age of 28 weeks~34 weeks,we should prevent infection,at the same time,adopt active measures,accelerate fetal prodution of surfactant to colytie,increase fetal birthweight,can improve the neonatal survival. ......
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