【摘要】 目的:探讨早产胎膜早破的危险因素及对母儿的影响。方法:回顾性分析6 3例早产胎膜早破的主要原因及对母儿的影响。并对不同孕龄组2 8～34周,34+ ～37周两组作分析比较。结果:78%的早产胎膜早破有易发因素,下生殖道上行感染是主要原因,多数为亚临床感染。不同孕周的两组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症(RDS)及低体重儿发生率有显著差别(P <0 .0 1)。结论:定期产检,注意下生殖道感染的筛查、治疗。对于孕2 8～34周的早产胎膜早破宜采取期待治疗法,以减少新生儿合并症的发生,降低新生儿死亡率。更多还原

【Abstract】 Objective:To study the risk factors of preterm premature rupture of membranes and its effects on the pregnant and infant. Methods: We collected 63 cased of PPROM and divided them into two groups according to their gestational age of birth before or after 34 weeks. Their causes and effects of the pregnant and infant were retrospectively analyzed. Results:Most PPROM had predisposing factors. There is no difference in the effects on the pregnant in two groups, but had dramatic difference in the infants mortality and incidence of RDS and love birth weight (P<0.01). Conclusion:In patients with a gestational age of 28～34 weeks’, a waiting management scheme was advised to decrease neonatal morbidity. Patients with PPROM should be prolonged more than 30 weeks’ gestation at lease to decrease neonatal mortality.更多还原