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目的:探讨不同孕周未足月胎膜早破(PPROM)延长孕周对母婴结局的影响。方法:对该院住院分娩的289例未足月胎膜早破的分娩结局进行回顾性分析,对28~31+6周、32~33+6周、34~36+6周不同孕周的母婴结局按保胎组与期待组分组进行分析比较。结果:不同孕周的未足月胎膜早破按保胎组与期待组分组比较:延长天数、宫内感染发生率、新生儿出生体重、Apgar评分、新生儿死亡率上有统计学差异(P<0.05);在分娩方式、产后出血发生率上无统计学差异(P>0.05)。结论:孕周32周前PPROM的处理要谨慎,条件允许下尽量延长孕周;32~33+6周PPROM严格控制孕周延长天数,34周后PPROM可以按照足月PROM处理。
Objective: To investigate the effect of prolonged gestational age without preterm premature rupture of membranes (PPROM) on maternal and infant outcomes in different gestational weeks. Methods: A retrospective analysis was made on the outcomes of 289 cases of premature rupture of membranes in hospitalized delivery in this hospital. The outcomes of 28 to 31 + 6 weeks, 32 to 33 + 6 weeks, 34 to 36 + 6 weeks of different gestational weeks Maternal and child outcomes according to the tire group and expected group analysis and comparison. Results: The preterm premature rupture of membranes in different gestational weeks was significantly different from that of the expectant group (expectant extension group, intrauterine infection rate, newborn birth weight, Apgar score and neonatal mortality rate) P <0.05). There was no significant difference in the mode of delivery and the incidence of postpartum hemorrhage (P> 0.05). Conclusion: PPROM treatment should be cautious 32 weeks before gestational age, prolonged gestational age as long as conditions permit; PPROM strictly control gestational weeks to extend the number of days 32 ~ 33 + 6 weeks, PPROM 34 months after treatment according to full-term PROM.