【摘要】 目的　探讨胎膜早破的妊娠结局。方法　对 439例胎膜早破者进行回顾性分析。结果　在胎膜早破的易发因素中 ,感染占首位 (5 2 %) ,早产胎膜早破与足月妊娠胎膜早破分娩方式比较 ,无显著性差异。胎膜早破者尤其是早产胎膜早破者母儿并发症明显增加。结论　应积极预防感染因素引起胎膜早破的发生 ,尽可能减少易发因素。胎膜早破的治疗包括正确使用宫缩抑制剂 ,合理应用抗生素 ,酌情使用糖皮质激素 ,选择适当的分娩时机和恰当的分娩方式。根据不同孕周制定相应的治疗方案 ,方案应个体化。更多还原

【Abstract】 Objective To discuss the pregnancy outcomes of patients with premature rupture of membranes(PROM). Methods A total of 439 patients with PROM were analyzed retrospectively. Results In the factors related to PROM,infection played the most important role(52%),there was no difference in the delivery way between preterm premature rupture of membrane(PPROM) and full-term premature rupture of membrane(FPROM). There was higher morbidity in patients with PROM,especially in those with PPROM. Conclusion It is necessary to decrease the risk factors of infection which lead to PROM. The treatment of PROM include the correct application of tocolytics,steroids,and antibiotics,and the appropriate selection of the time and the way of delivery. The treatment scheme should be made according to the patients pregnancy weeks,and modified to fit different patient.更多还原