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目的:分析孕37前发生胎膜早破者不同就诊时间对妊娠结局的影响。方法:对我院132例孕28～36+6周胎膜早破孕产妇和新生儿的临床资料进行回顾性分析,按不同就诊时间分为A、B、C3组。A组为破膜时间<2h就诊者;B组为破膜时间>2h,但<12h就诊者;C组为破膜时间>12h就诊者。结果:在孕妇宫内感染率、产褥感染率方面A、B两组均明显低于C组,差异有显著性(P<0.05);而3组孕产妇在分娩方式上比较差异无显著性(P>0.05);3组新生儿呼吸窘迫综合征发生率A、B两组均明显低于C组,差异有显著性(P<0.05)。结论:未足月胎膜早破在2h内就诊,给予预防性使用抗生素及促胎肺成熟治疗,可减少孕产妇感染和围生儿死亡率。
OBJECTIVE: To analyze the effect of different treatment time on pregnancy outcome in premature rupture of membranes 37. Methods: The clinical data of 132 pregnant women with gestational age at 28-36 + 6 weeks of premature rupture of membranes in our hospital were retrospectively analyzed. The patients were divided into A, B and C3 groups according to different treatment time. Patients in group A were treated for <2 hours of rupture of membranes, patients in group B for 2 hours of rupture, but were treated for <12 hours and patients in group C were treated for 12 hours. Results: The intrauterine infection rate and the rate of puerperal infection in pregnant women were significantly lower than those in group C (P <0.05), but there was no significant difference in the mode of delivery between the three groups (P> 0.05). The incidences of respiratory distress syndrome in three groups were significantly lower than those in group C (P <0.05). CONCLUSION: Premature rupture of membranes is treated within 2 hours. Prophylactic use of antibiotics and promotion of fetal lung maturation may reduce the risk of maternal infection and perinatal mortality.