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目的观察胎膜早破对早产儿肺透明膜病的影响。方法将120例早产儿肺透明膜病患儿分为治疗组和对照组各60例,治疗组为胎膜早破组,对照组为非胎膜早破组。结果治疗组患儿重复使用肺表面活性物质(PS)的次数,机械通气的例数均较对照组多,抗生素使用时间均较对照组时间长,症状性动脉导管开放,呼吸暂停,喂养不耐受均较对照组重。差异有统计学意义(P<0.05)。结论治疗组患儿易使早产儿肺透明膜病病情加重,病程延长,易出现早产儿肺损伤,要加强产儿科合作,对胎膜早破的孕妇要综合评估,适时终止妊娠,提高新生儿的生存质量。
Objective To observe the effect of premature rupture of membranes on hyaline membrane disease in premature infants. Methods 120 cases of preterm infants with hyaline membrane disease were divided into treatment group and control group of 60 cases, the treatment group was premature rupture of membranes group, the control group was non-premature rupture of membranes group. Results In the treatment group, the number of repeated use of pulmonary surfactant (PS) and the number of mechanical ventilation in the treatment group were more than those in the control group. The antibiotic use time was longer than that in the control group. The symptomatic patent ductus arteriosus was open, apnea, and feeding impatience Subjects were heavier than the control group. The difference was statistically significant (P <0.05). Conclusion The treatment group of children prone to premature children with hmophthalmia is exacerbated, prolonged course, prone to lung injury in premature children, to strengthen cooperation in pediatric obstetrics, premature rupture of membranes should be comprehensive assessment of pregnant women, timely termination of pregnancy and improve newborns The quality of life.