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目的:探讨期待疗法防治早产胎膜早破的临床效果。方法:对比分析60例早产胎膜早破患者的临床资料,总结期待疗法的治疗效果。结果:进行期待疗法治疗后,60例早产胎膜早破患者平均延迟妊娠21d;阴道助产分娩26例,剖宫产33例;新生儿窒息14例,其中4例感染,2例颅内出血,呼吸窘迫导致早产儿死亡2例。结论:孕周处于28～32±4周的早产胎膜早破孕妇适宜采用期待疗法延长孕周,促进胎儿成熟,提高围生儿存活率。
Objective: To investigate the clinical effect of expectant therapy in the prevention and treatment of premature rupture of membranes. Methods: The clinical data of 60 patients with preterm premature rupture of membranes were compared and the therapeutic effect of expectant therapy was summarized. Results: After expectant therapy, 60 cases of premature rupture of membranes with premature rupture of membranes had an average delay of 21 days of gestation, 26 cases of vaginal delivery and 33 cases of cesarean section, 14 cases of neonatal asphyxia, 4 cases of infection, 2 cases of intracranial hemorrhage, Respiratory distress led to 2 deaths in premature infants. Conclusion: Pregnancy preterm premature rupture of membranes in 28 ~ 32 ± 4 weeks gestational weeks suitable for expectant treatment to extend gestational age, promote fetal maturity and improve perinatal survival rate.